Echinococcosis medical therapy: Difference between revisions
Jump to navigation
Jump to search
Aditya Ganti (talk | contribs) |
mNo edit summary |
||
| Line 3: | Line 3: | ||
{{CMG}} '''Associate Editor-In-Chief:''' {{CZ}} | {{CMG}} '''Associate Editor-In-Chief:''' {{CZ}} | ||
==Overview== | ==Overview== | ||
Both cystic echinococcosis and alveolar echinococcosis are complicated to treat, sometimes requiring extensive surgery and/or prolonged drug therapy. There are 3 options for the treatment of cystic echinococcosis anti-infective drug treatment, percutaneous treatment of the hydatid cysts with the PAIR (Puncture, Aspiration, Injection, Re-aspiration) technique and surgery.<ref name="pmid27729953">{{cite journal |vauthors=Mihmanli M, Idiz UO, Kaya C, Demir U, Bostanci O, Omeroglu S, Bozkurt E |title=Current status of diagnosis and treatment of hepatic echinococcosis |journal=World J Hepatol |volume=8 |issue=28 |pages=1169–1181 |year=2016 |pmid=27729953 |pmc=5055586 |doi=10.4254/wjh.v8.i28.1169 |url=}}</ref> | Both [[cystic echinococcosis]] and [[alveolar echinococcosis]] are complicated to treat, sometimes requiring extensive surgery and/or prolonged drug therapy. There are 3 options for the treatment of cystic echinococcosis: anti-infective drug treatment, [[percutaneous]] treatment of the [[Hydatid cyst|hydatid cysts]] with the PAIR (Puncture, Aspiration, [[Injection (medicine)|Injection]], Re-aspiration) technique and surgery.<ref name="pmid27729953">{{cite journal |vauthors=Mihmanli M, Idiz UO, Kaya C, Demir U, Bostanci O, Omeroglu S, Bozkurt E |title=Current status of diagnosis and treatment of hepatic echinococcosis |journal=World J Hepatol |volume=8 |issue=28 |pages=1169–1181 |year=2016 |pmid=27729953 |pmc=5055586 |doi=10.4254/wjh.v8.i28.1169 |url=}}</ref> | ||
==Medical Therapy== | ==Medical Therapy== | ||
'''Cystic echinococcosis stage 1 of less than 5 cm''' | '''Cystic echinococcosis stage 1 of less than 5 cm''' | ||
*Preferred regimen: Albendazole 10 to 15 mg/kg per day q12 | *Preferred regimen: [[Albendazole]] 10 to 15 mg/kg per day q12 | ||
*Alternative regimen: Puncture, Aspiration, Injection, Re-aspiration (PAIR) | *Alternative regimen: Puncture, Aspiration, Injection, Re-aspiration (PAIR) | ||
'''Cystic echinococcosis stage 1 of more than 5 cm''' | '''Cystic echinococcosis stage 1 of more than 5 cm''' | ||
*Preferred regimen: Albendazole 10 to 15 mg/kg per day q12 '''and''' Puncture, Aspiration, Injection, Re-aspiration (PAIR) | *Preferred regimen: [[Albendazole]] 10 to 15 mg/kg per day q12 '''and''' Puncture, Aspiration, Injection, Re-aspiration (PAIR) | ||
*Alternative regimen: Puncture, Aspiration, Injection, Re-aspiration (PAIR) | *Alternative regimen: Puncture, Aspiration, Injection, Re-aspiration (PAIR) | ||
'''Cystic echinococcosis stage 2 of any size''' | '''Cystic echinococcosis stage 2 of any size''' | ||
*Preferred regimen: Albendazole 10 to 15 mg/kg per day q12 '''and''' either modified catheterization or surgery | *Preferred regimen: [[Albendazole]] 10 to 15 mg/kg per day q12 '''and''' either modified [[catheterization]] or surgery | ||
*Alternative regimen: Puncture, Aspiration, Injection, Re-aspiration (PAIR) | *Alternative regimen: Puncture, Aspiration, Injection, Re-aspiration (PAIR) | ||
'''Cystic echinococcosis stage 3 of any size''' | '''Cystic echinococcosis stage 3 of any size''' | ||
*Preferred regimen: Albendazole 10 to 15 mg/kg per day q12 '''and''' either modified catheterization or surgery | *Preferred regimen: [[Albendazole]] 10 to 15 mg/kg per day q12 '''and''' either modified [[catheterization]] or surgery | ||
*Alternative regimen: Puncture, Aspiration, Injection, Re-aspiration (PAIR) | *Alternative regimen: Puncture, Aspiration, Injection, Re-aspiration (PAIR) | ||
Revision as of 20:24, 24 July 2017
|
Echinococcosis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Echinococcosis medical therapy On the Web |
|
American Roentgen Ray Society Images of Echinococcosis medical therapy |
|
Risk calculators and risk factors for Echinococcosis medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
Both cystic echinococcosis and alveolar echinococcosis are complicated to treat, sometimes requiring extensive surgery and/or prolonged drug therapy. There are 3 options for the treatment of cystic echinococcosis: anti-infective drug treatment, percutaneous treatment of the hydatid cysts with the PAIR (Puncture, Aspiration, Injection, Re-aspiration) technique and surgery.[1]
Medical Therapy
Cystic echinococcosis stage 1 of less than 5 cm
- Preferred regimen: Albendazole 10 to 15 mg/kg per day q12
- Alternative regimen: Puncture, Aspiration, Injection, Re-aspiration (PAIR)
Cystic echinococcosis stage 1 of more than 5 cm
- Preferred regimen: Albendazole 10 to 15 mg/kg per day q12 and Puncture, Aspiration, Injection, Re-aspiration (PAIR)
- Alternative regimen: Puncture, Aspiration, Injection, Re-aspiration (PAIR)
Cystic echinococcosis stage 2 of any size
- Preferred regimen: Albendazole 10 to 15 mg/kg per day q12 and either modified catheterization or surgery
- Alternative regimen: Puncture, Aspiration, Injection, Re-aspiration (PAIR)
Cystic echinococcosis stage 3 of any size
- Preferred regimen: Albendazole 10 to 15 mg/kg per day q12 and either modified catheterization or surgery
- Alternative regimen: Puncture, Aspiration, Injection, Re-aspiration (PAIR)
References
- ↑ Mihmanli M, Idiz UO, Kaya C, Demir U, Bostanci O, Omeroglu S, Bozkurt E (2016). "Current status of diagnosis and treatment of hepatic echinococcosis". World J Hepatol. 8 (28): 1169–1181. doi:10.4254/wjh.v8.i28.1169. PMC 5055586. PMID 27729953.