Abstract | OBJECTIVE: SUBJECTS AND METHODS: RESULTS: All but one of the cysts resolved with one instillation. The one cyst, in a patient with polycystic liver disease, required two instillations 3 months apart. The mean initial volume of cysts was 589.8 mL, and the mean reduction in volume was 88.8%. Both the simple cysts resolved completely. In the cases of polycystic disease, the volume of cysts larger than 10 cm in diameter was reduced by 92.8%. Cyst resolution was gradual, and clinically significant cyst reduction was achieved within 1 year of therapy. None of the patients needed surgery. The median follow-up period was 54 months (range, 1 week-95 months). There were no significant adverse effects, and all patients had relief of symptoms after therapy. CONCLUSION: This initial experience with a single session of percutaneous aspiration and ethanolamine oleate sclerosis resulted in sustained resolution of symptomatic polycystic liver disease with minimal morbidity, avoidance of surgery, and improvement in quality of life.
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Authors | Ryosuke Nakaoka, Kunal Das, Masatoshi Kudo, Hobyung Chung, Tatsuo Innoue |
Journal | AJR. American journal of roentgenology
(AJR Am J Roentgenol)
Vol. 193
Issue 6
Pg. 1540-5
(Dec 2009)
ISSN: 1546-3141 [Electronic] United States |
PMID | 19933645
(Publication Type: Journal Article)
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Chemical References |
- Contrast Media
- Oleic Acids
- Sclerosing Solutions
- ethanolamine oleate
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Topics |
- Aged
- Aged, 80 and over
- Contrast Media
- Cysts
(therapy)
- Female
- Humans
- Liver Diseases
(therapy)
- Male
- Middle Aged
- Oleic Acids
(therapeutic use)
- Sclerosing Solutions
(therapeutic use)
- Sclerotherapy
(methods)
- Suction
(methods)
- Treatment Outcome
- Ultrasonography, Interventional
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