Update on Treatment for Cystic Echinococcosis of the Liver

作者: Enrico Brunetti , Liliana Praticò , Andreas Neumayr , Marcello Maestri , Francesca Tamarozzi

DOI: 10.1007/S40506-016-0079-3

关键词: Multidisciplinary approachStage (cooking)SurgeryReferralCystic echinococcosisEvidence-based medicineClinical trialEchinococcosisDiseaseIntensive care medicineMedicine

摘要: Cystic echinococcosis (CE) is a chronic, complex, and neglected disease. Its treatment depends on number of factors, such as location, size, stage the cysts, availability therapeutic options. Despite wealth scientific literature for echinococcosis, current management disease based poor to moderate quality evidence recommendation strength. In addition, strategies have been developed over time without systematic adequate evaluation their efficacy, effectiveness, safety. This due lack large, longitudinal, controlled studies, which in turn partly chronicity requires follow-up many years. The funding makes these costly trials impossible implement. Although recommended multidisciplinary stage-specific approach may be available referral centers, this often not case endemic countries, where most affected populations limited access diagnosis therapy, risks associated with invasive procedures particularly high. level clinicians rely low. For being, patients should preferably treated centers only. Proper comparative clinical are urgently needed. Because space constraints, update will focus frequent location CE, liver.

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