[Treatment of alveolar echinococcosis: a multidisciplinary task]
Autor: | Mantion, Georges, Bresson-Hadni, Solange, Vuitton, Dominique-Angèle, Wen, Hao, Chapuis, Yves, Gillet, Michel |
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Přispěvatelé: | WHO Collaborating Center on Prevention and Treatment of Human Echinococcosis, Université de Franche-Comté ( UFC ), Laboratoire Chrono-environnement ( LCE ), Université Bourgogne Franche-Comté ( UBFC ) -Centre National de la Recherche Scientifique ( CNRS ) -Université de Franche-Comté ( UFC ), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC ( CEF2P / CARCINO ), Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC ), Xinjiang Medical University, Chinese Government, Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (EA 3181) (CEF2P / CARCINO), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)-Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon) |
Jazyk: | francouzština |
Rok vydání: | 2008 |
Předmět: |
Patient Care Team
MESH : Echinococcosis Pulmonary MESH: Liver Transplantation Echinococcosis Hepatic MESH: Humans Echinococcosis Pulmonary MESH : Patient Care Team MESH : Humans MESH: Echinococcosis Hepatic Antiprotozoal Agents Liver Transplantation MESH: Patient Care Team Animals Humans MESH: Animals MESH : Animals MESH: Antiprotozoal Agents MESH : Liver Transplantation MESH: Echinococcosis Pulmonary MESH : Echinococcosis Hepatic [SDV.MP.MYC]Life Sciences [q-bio]/Microbiology and Parasitology/Mycology [ SDV.MP.MYC ] Life Sciences [q-bio]/Microbiology and Parasitology/Mycology MESH : Antiprotozoal Agents |
Zdroj: | Bulletin de l'Académie Nationale de Médecine Bulletin de l'Académie Nationale de Médecine, Elsevier Masson, 2008, 192 (6), pp.1151-1157; discussion 1157-1158 |
ISSN: | 0001-4079 |
Popis: | International audience; Alveolar echinococcosis is characterized by a long asymptomatic period but, without treatment, up to 80% of patients may die within ten years of diagnosis. Owing to a lack of fast-acting and fully effective chemotherapy, partial radical hepatic resection is the only chance of cure. One-third of patients are now treated in this way, and complex vascular and biliary reconstruction procedures are sometimes necessary. Liver transplantation may also be indicated for highly selected patients (about 5%) with life-threatening complications after failure of other treatments. Interventional radiology and endoscopy can be used to drain liver abscesses and/or infected and obstructed bile ducts, either as palliative procedures or as a bridge to radical resection. Parasitostatic benzimidazole therapy, especially based on continuous albendazole administration, is mandatory for at least two years after radical resection, and for life in inoperable patients. |
Databáze: | OpenAIRE |
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