Contrast-Enhanced Sonographic Drainage Control: A Feasibility Study

被引:10
作者
Girlich, C. [1 ]
Buettner, R. [1 ]
Schacherer, D. [1 ]
Klebl, F. [1 ]
机构
[1] Univ Regensburg, Klin & Poliklin Innere Med 1, D-93051 Regensburg, Germany
来源
ZEITSCHRIFT FUR GASTROENTEROLOGIE | 2011年 / 49卷 / 11期
关键词
liver; abscess; contrast-enhanced sonography; ULTRASOUND-GUIDED INTERVENTIONS; PYOGENIC LIVER-ABSCESSES; CATHETER DRAINAGE;
D O I
10.1055/s-0031-1281579
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Liver abscesses still represent a life-threatening disease. Interventional abscess puncture and/or drainage are often the most adequate treatment. The aim of our study was the evaluation of drainage control with contrast-enhanced sonography. We included 15 patients in our feasibility study, three of whom had infected liver cysts, three had abscesses after liver resection or transplantation, six had intrahepatic abscesses and three had abscesses of other localisations. For drainage control with contrast-enhanced sonography we administered 1 mL of the contrast agent SonoVue (R) (Bracco, Germany) diluted in 10 mL of 0.9% of NaCl through the indwelling drainage or an 18-G Chiba needle. A total of 28 sonographic controlled examinations was performed. The position of the drainage, as well as the size of the abscess itself could be demonstrated in all cases. Furthermore, possible septs or the communication of different abscess regions could be seen. Drainage remained in position for an average of 13.3 days. Assessment of drainage position and size of the abscess region is of clinical relevance. The main advantages of the described examination with contrast-enhanced sonography are the lack of radiation and the low costs due to the small amount of contrast medium used.
引用
收藏
页码:1470 / 1474
页数:5
相关论文
共 15 条
[1]   Single and multiple pyogenic liver abscesses: Clinical course, etiology and results of treatment [J].
Chou, FF ;
SheenChen, SM ;
Chen, YS ;
Chen, MC .
WORLD JOURNAL OF SURGERY, 1997, 21 (04) :384-389
[2]   Guidelines and good clinical practice recommendations for contrast enhanced ultrasound (CEUS) -: Update 2008 [J].
Claudon, M. ;
Cosgrove, D. ;
Albrecht, T. ;
Bolondi, L. ;
Bosio, M. ;
Calliada, F. ;
Correas, J. -M. ;
Darge, K. ;
Dietrich, C. ;
D'Onofrio, M. ;
Evans, D. H. ;
Filice, C. ;
Greiner, L. ;
Jaeger, K. ;
de Jong, N. ;
Leen, E. ;
Lencioni, R. ;
Lindsell, D. ;
Martegani, A. ;
Meairs, S. ;
Nolsoe, C. ;
Piscaglia, F. ;
Ricci, P. ;
Seidel, G. ;
Skjoldbye, B. ;
Solbiati, L. ;
Thorelius, L. ;
Tranquart, F. ;
Weskott, H. P. ;
Whittingham, T. .
ULTRASCHALL IN DER MEDIZIN, 2008, 29 (01) :28-44
[3]   Voiding urosonography with ultrasound contrast agents for the diagnosis of vesicoureteric reflux in children [J].
Darge, Kassa .
PEDIATRIC RADIOLOGY, 2008, 38 (01) :40-53
[4]   PERCUTANEOUS CATHETER DRAINAGE OF ABDOMINAL ABSCESSES - A 5-YEAR EXPERIENCE [J].
GERZOF, SG ;
ROBBINS, AH ;
JOHNSON, WC ;
BIRKETT, DH ;
NABSETH, DC .
NEW ENGLAND JOURNAL OF MEDICINE, 1981, 305 (12) :653-657
[5]   Ultrasound-Guided Interventions and Description of the Equipment [J].
Gottschalk, U. ;
Ignee, A. ;
Dietrich, C. F. .
ZEITSCHRIFT FUR GASTROENTEROLOGIE, 2010, 48 (11) :1305-1316
[6]   Ultrasound Guided Interventions, Part 1, Diagnostic Procedures [J].
Gottschalk, U. ;
Ignee, A. ;
Dietrich, C. F. .
ZEITSCHRIFT FUR GASTROENTEROLOGIE, 2009, 47 (07) :682-690
[7]   TREATMENT OF ABSCESSES BY ULTRASONICALLY GUIDED FINE NEEDLE PUNCTURE [J].
HECKEMANN, R ;
WERNECKE, K .
ULTRASCHALL IN DER MEDIZIN, 1986, 7 (05) :218-223
[8]  
HERBERT DA, 1982, LANCET, V1, P134
[9]   Liver abscess in patients with cirrhosis of the liver: a 12-year experience [J].
Kuo, CM ;
Kuo, CH ;
Changchien, CS .
JOURNAL OF GASTROENTEROLOGY, 2001, 36 (08) :552-556
[10]   Percutaneous Hepatic Abscess Drainage: Do Multiple Abscesses or Multiloculated Abscesses Preclude Drainage or Affect Outcome? [J].
Liu, Chang-Hsien ;
Gervais, Debra A. ;
Hahn, Peter F. ;
Arellano, Ronald S. ;
Uppot, Raul N. ;
Mueller, Peter R. .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2009, 20 (08) :1059-1065