Cystic echinococcosis of the liver: A primer for hepatologists

被引：13

作者：

Francesca Rinaldi ^{[1
,2
]}

Enrico Brunetti ^{[1
,2
]}

Andreas Neumayr ^{[3
,4
]}

Marcello Maestri ^{[5
]}

Samuel Goblirsch ^{[6
]}

Francesca Tamarozzi ^{[2
]}

机构：

[1] Division of Infectious and Tropical Diseases, San Matteo Hospital Foundation, 27100 Pavia, Italy

[2] Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, WHO Collaborating Centre for the Clinical Management of Cystic Echinococcosis, 27100 Pavia, Italy

[3] Swiss Tropical and Public Health Institute, 4002 Basel, Switzerland

[4] University of Basel, 4003 Basel, Switzerland

[5] Division of General Surgery, University of Pavia, San Matteo Hospital Foundation, 27100 Pavia, Italy

[6] Emergency Medicine, Winona Health Services, Winona, MN 55987, United States

来源：

World Journal of Hepatology | 2014年 / 6卷 / 05期

关键词：

Cystic echinococcosis; Hydatidosis; Clinical management; Diagnosis; Treatment; Surgery; Albenda-zole; Watch-and-wait; Follow-up; Percutaneous treatment;

D O I：

暂无

中图分类号：

R532.32 [棘球蚴病（包虫病）];

学科分类号：

1002 ; 100201 ;

摘要：

Cystic echinococcosis(CE) is a complex, chronic and neglected disease with a worldwide distribution. The liver is the most frequent location of parasitic cysts. In humans, its clinical spectrum ranges from asymptom-atic infection to severe, potentially fatal disease. Four approaches exist in the clinical management of CE: surgery, percutaneous techniques and drug treatment for active cysts, and the "watch and wait" approach for inactive cysts. Allocation of patients to these treat-ments should be based on cyst stage, size and location, available clinical expertise, and comorbidities. However, clinical decision algorithms, efficacy, relapse rates, and costs have never been properly evaluated. This paper reviews recent advances in classification and diagnosisand the currently available evidence for clinical deci-sion-making in cystic echinococcosis of the liver.

引用

页码：293 / 305

页数：13

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