Abstract
Objective: Image guided percutaneous drainage is a well established therapeutic technique. The results of these procedures, when performed directly by the clinician and under sonographic guidance, in respect to other imaging techniques are not yet clarified. Methods: The 886 cases of ultrasound guided drainage were collected from eight italian clinical institutions and the results were analyzed according to location of the abscess, drainage technique, underlying diseases, microbiological findings, immunological patient status and previous surgical intervention. Results: We observed an overall cure rate of 90.4%. The best results were obtained in hepatic abscesses, both amoebic and pyogenic (cure rate 98.7 and 94.3%). Slightly lower cure rates were obtained in abdominal and splenic abscesses, postoperative collections and severely immunocompromised patients. The frequency of complications was low (6.6%) and mostly related to catheter drainage. No drainage-related deaths occurred. Conclusions: The study confirms the high clinical efficiency and safety of ultrasound guided percutaneous drainage, even when performed directly by the clinician. The sonographic guidance showed similar efficacy, more manageability and lower costs than other imaging techniques and it should be preferred whenever possible. For hepatic abscesses, ultrasound guided needle aspiration showed good results and less complications than catheter drainage.
| Original language | English |
|---|---|
| Pages (from-to) | 91-99 |
| Number of pages | 9 |
| Journal | European Journal of Ultrasound |
| Volume | 8 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Nov 16 1998 |
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Keywords
- Abdominal abscesses
- Percutaneous drainage
- Ultrasonography
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Bioengineering
- Acoustics and Ultrasonics
- Chemical Engineering(all)
Cite this
Ultrasound guided percutaneous drainage of abdominal abscesses in the hands of the clinician : A multicenter Italian study. / Civardi, Giuseppe; Di Candio, Giulio; Giorgio, Antonio; Goletti, Orlando; Ceragioli, Tiziano; Filice, Carlo; Caremani, Marcello; Buscarini, Luigi.
In: European Journal of Ultrasound, Vol. 8, No. 2, 16.11.1998, p. 91-99.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Ultrasound guided percutaneous drainage of abdominal abscesses in the hands of the clinician
T2 - A multicenter Italian study
AU - Civardi, Giuseppe
AU - Di Candio, Giulio
AU - Giorgio, Antonio
AU - Goletti, Orlando
AU - Ceragioli, Tiziano
AU - Filice, Carlo
AU - Caremani, Marcello
AU - Buscarini, Luigi
PY - 1998/11/16
Y1 - 1998/11/16
N2 - Objective: Image guided percutaneous drainage is a well established therapeutic technique. The results of these procedures, when performed directly by the clinician and under sonographic guidance, in respect to other imaging techniques are not yet clarified. Methods: The 886 cases of ultrasound guided drainage were collected from eight italian clinical institutions and the results were analyzed according to location of the abscess, drainage technique, underlying diseases, microbiological findings, immunological patient status and previous surgical intervention. Results: We observed an overall cure rate of 90.4%. The best results were obtained in hepatic abscesses, both amoebic and pyogenic (cure rate 98.7 and 94.3%). Slightly lower cure rates were obtained in abdominal and splenic abscesses, postoperative collections and severely immunocompromised patients. The frequency of complications was low (6.6%) and mostly related to catheter drainage. No drainage-related deaths occurred. Conclusions: The study confirms the high clinical efficiency and safety of ultrasound guided percutaneous drainage, even when performed directly by the clinician. The sonographic guidance showed similar efficacy, more manageability and lower costs than other imaging techniques and it should be preferred whenever possible. For hepatic abscesses, ultrasound guided needle aspiration showed good results and less complications than catheter drainage.
AB - Objective: Image guided percutaneous drainage is a well established therapeutic technique. The results of these procedures, when performed directly by the clinician and under sonographic guidance, in respect to other imaging techniques are not yet clarified. Methods: The 886 cases of ultrasound guided drainage were collected from eight italian clinical institutions and the results were analyzed according to location of the abscess, drainage technique, underlying diseases, microbiological findings, immunological patient status and previous surgical intervention. Results: We observed an overall cure rate of 90.4%. The best results were obtained in hepatic abscesses, both amoebic and pyogenic (cure rate 98.7 and 94.3%). Slightly lower cure rates were obtained in abdominal and splenic abscesses, postoperative collections and severely immunocompromised patients. The frequency of complications was low (6.6%) and mostly related to catheter drainage. No drainage-related deaths occurred. Conclusions: The study confirms the high clinical efficiency and safety of ultrasound guided percutaneous drainage, even when performed directly by the clinician. The sonographic guidance showed similar efficacy, more manageability and lower costs than other imaging techniques and it should be preferred whenever possible. For hepatic abscesses, ultrasound guided needle aspiration showed good results and less complications than catheter drainage.
KW - Abdominal abscesses
KW - Percutaneous drainage
KW - Ultrasonography
UR - http://www.scopus.com/inward/record.url?scp=0031733676&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031733676&partnerID=8YFLogxK
U2 - 10.1016/S0929-8266(98)00059-7
DO - 10.1016/S0929-8266(98)00059-7
M3 - Article
C2 - 9845785
AN - SCOPUS:0031733676
VL - 8
SP - 91
EP - 99
JO - European Journal of Ultrasound
JF - European Journal of Ultrasound
SN - 0929-8266
IS - 2
ER -