Are Pyogenic Liver Abscesses Still a Surgical Concern? A Western Experience
Joint Authors
Lepennec, Vincent
Dufay, Corentin
Dargere, Sylvie
Chiche, Laurence
Parienti, Jean Jacques
Alkofer, Barbara
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-19
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Backgrounds.
Pyogenic liver abscess is a rare disease whose management has shifted toward greater use of percutaneous drainage.
Surgery still plays a role in treatment, but its indications are not clear.
Method.
We conducted a retrospective study of pyogenic abscess cases admitted to our university hospital between 1999 and 2010 and assessed the factors potentially associated with surgical treatment versus medical treatment alone.
Results.
In total, 103 liver abscess patients were treated at our center.
The mortality was 9%.
The main symptoms were fever and abdominal pain.
All of the patients had CRP > 6 g/dL.
Sixty-nine patients had a unique abscess.
Seventeen patients were treated with antibiotics alone and 57 with percutaneous drainage and antibiotics.
Twenty-seven patients who were treated with percutaneous techniques required surgery, and 29 patients initially received it.
Eventually, 43 patients underwent abscess surgery.
The factors associated with failed medical treatment were gas-forming abscess (P=0.006) and septic shock at the initial presentation (P=0.008).
Conclusion.
Medical and percutaneous treatment constitute the standard management of liver abscess cases.
Surgery remains necessary after failure of the initial treatment but should also be considered as an early intervention for cases presenting with gas-forming abscesses and septic shock and when treatment of the underlying cause is immediately required.
American Psychological Association (APA)
Alkofer, Barbara& Dufay, Corentin& Parienti, Jean Jacques& Lepennec, Vincent& Dargere, Sylvie& Chiche, Laurence. 2012. Are Pyogenic Liver Abscesses Still a Surgical Concern? A Western Experience. HPB Surgery،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-462866
Modern Language Association (MLA)
Alkofer, Barbara…[et al.]. Are Pyogenic Liver Abscesses Still a Surgical Concern? A Western Experience. HPB Surgery No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-462866
American Medical Association (AMA)
Alkofer, Barbara& Dufay, Corentin& Parienti, Jean Jacques& Lepennec, Vincent& Dargere, Sylvie& Chiche, Laurence. Are Pyogenic Liver Abscesses Still a Surgical Concern? A Western Experience. HPB Surgery. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-462866
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-462866