Miscellaneous liver disorders

Current Opinion in Gastroenterology

Volumn 12, Issue 3, 1996, Pages 314-317

  Gitlin, Norman ^a  

^a EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT;

ABSCESS DRAINAGE; BILIARY COLIC; BILIARY TRACT DISEASE; CAROLI DISEASE; COMMON BILE DUCT CYST; DISEASE SEVERITY; HUMAN; LIVER ABSCESS; LIVER CYST; LIVER DISEASE; LIVER FIBROSIS; MORTALITY; PERCUTANEOUS DRAINAGE; PREGNANCY; RECURRENCE RISK; SHORT SURVEY;

EID: 0030056798     PISSN: 02671379     EISSN: None     Source Type: Journal    
DOI: 10.1097/00001574-199605000-00015     Document Type: Short Survey

References (19)

1. Chou F, Sheen-Chen S, Chen Y, Chen M, Chen F, Tai D: Prognostic factors for pyogenic abscess of the liver. J Am Coll Surg 1994, 179:727-732. Using multivariate analysis, the authors studied 352 patients with pyogenic abscess of the liver and identified the following independent risk factors predictive of an increased mortality rate: age (over 60 years), blood urea nitrogen (greater than 20 mg/dL), serum creatinine (greater than 2 mg/dL), total bilirubin (greater than 2 mg/dL), and albumin (less than 2.5 g/dL). The overall mortality rate was 20%.
2. Moore-Gillon JC, Eykyn SJ, Phillips I: Microbiology of pyogenic liver abscess. BMJ 1981, 283:819-821.
3. Mischinger HJ, Hauser H, Rabl H, Quehenberger F, Werkgartner G, Rubin R, Deu E: Pyogenic liver abscess: studies of therapy and analysis of risk factors. World J Surg 1994, 18:852-858. A retrospective analysis of 46 patients with pyogenic liver abscess. The authors report that multivariate stepwise logistic regression analysis revealed that a high APACHE II score, a low hemoglobin level (less than 11 g/dL), and a high bilirubin level (greater than 1.5 mg/dL) were significant predictors of a complicated course.
4. Ravichandran D, Johnson CD, Carty NJ: Pyogenic hepatic abscess after pancreatic resection for chronic pancreatitis. Ann R Coll Surg Engl 1995, 77:12-15. A report documenting the development of pyogenic liver abscess in three of 17 patients who underwent surgery for alcohol-induced chronic pancreatitis. Risk factors identified included diabetes in all three patients. Other factors postulated include malnutrition, the immunosuppressive action of alcohol, and infection with S. milleri.
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7. Koneru S, Peskin GW, Sreenivas V: Pyogenic hepatic abscess in a community hospital. Am Surg 1994, 60:278-281. A report of 15 patients with pyogenic abscess. This represented 0.023% of all hospital admissions. The pathogenesis was regarded to be secondary to biliary sepsis, biliary surgery, metastatic hepatic disease, pyogenic portal pyemia, and rarely cryptogenic. E. coli or Klebsiella pneumoniae were the commonest organisms. Treatment with antibiotics and either aspiration or surgical drainage is advocated.
8. Mondragon-Sanchez R, Cortes-Espinoza T, Parra-Silva H, Hurtado-Adrade H: Rupture of an amebic liver abscess into the pericardium: presentation of a case and review of current management. Hepatogastroenterology 1994, 41:585-588. A report of an amebic liver abscess rupturing the left lobe of the liver into the pericardium. A review of the current management of this entity is given.
9. Albrink MH, McAllister EW, Rosemurgy AS II, Karl RC, Carey LC: Laparoscopic management of cystic disease of the liver. Am Surg 1994, 60:262-266. The authors report the successful application of laparoscopic surgery in the management of cystic disease of the liver. Cysts (solitary or polycystic) were surgically treated and symptoms of pain, compression, and obstruction were relieved. A brief review of hepatic cystic disease is also covered.
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11. Dumot JA, Fields MS, Meyer RA, Shay SS, Conwell DL, Brzezinski A: Alcohol sclerosis for polycystic liver disease and obstructive jaundice: use of a nasobiliary catheter. Am J Gastroenterol 1994, 89:1555-1557. Reviews the management of polycystic liver disease, with a report of a patient treated with alcohol sclerosis and the use of a nasobiliary catheter to visualize and identify the specific cyst producing the mechanical obstruction of the bile duct.
12. Soravia C, Mentha G, Giostra E, Morel P, Rohner A: Surgery for adult polycystic liver disease. Surgery 1995, 117:272-275. A report of 10 patients (age range, 33 to 70 years; mean, 49 years) who had severe symptoms of abdominal pain, satiety, dyspnea, and fatigue due to polycystic liver disease. A partial frontal hepatectomy and anterior cyst fenestration was successful in 66% of patients and alleviated symptoms. It did not preclude orthotopic liver transplantation at a later date.
13. Ciambotti GF, Ravi J, Abrol RP, Arya V: Right-sided monolobar Caroli's disease with intrahepatic stones: nonsurgical management with ERCP. Gastrointest Endosc 1994, 40:761-764. A report of a patient with right-sided monolobar Caroli's disease complicated by intrahepatic calculi and treated with endoscopic retrograde cholangiopancreatography and drainage. Includes a review of the management options in Caroli's disease.
14. Johnson GK, Geenen JE, Venu RP, Schmalz MJ, Hogan WJ: Treatment of nonextractable common bile duct stones with combination ursodeoxycholic acid plus endoprostheses. Gastroinest Endosc 1993, 39:528-531.
15. Morris DL: Echinococcus of the liver. Gut 1994, 35:1517-1518. Excellent, precise update on the treatment options for echinococcal infection of the liver, including their advantages, disadvantages, and adverse reactions.
16. Safioleas M, Misiakos E, Manti C, Katsikas D, Skalkeas G: Diagnostic evaluation and surgical management of hydatid disease of the liver. World J Surg 1994, 18:859-865. A report from Greece in which 132 patients were surgically treated for liver hydatid disease. Excision of the cyst (where feasible) associated with omentoplasty was the recommended surgical approach. The postoperative mortality rate was low and included hepatic abscess wound sepsis and biliary leaks.
17. Swisher SG, Schmit PJ, Hunt KK, Hiyama DT, Bennion RS: Biliary disease during pregnancy. Am J Surg 1994, 168:576-581. Retrospective review of 46,075 pregnancies revealed 72 cases of biliary disease (incidence, 0.16%). Patients who were treated medically at the initial presentation had a 69% rate of relapse prior to delivery. Surgical therapy in the second trimester did not increase the mortality, and it appeared to reduce the rate of relapse and subsequent hospitalization.
18. McKellar DP, Anderson CT, Boynton CU: Cholecystectomy during pregnancy without fetal loss. Surg Gynecol Obstet 1992, 174:465-468.
19. Dixon NP, Faddis DM, Silberman H: Aggressive management of cholecystitis during pregnancy. Am J Surg 1987, 154:292-294.