Management of amoebic peritonitis due to ruptured amoebic liver abscess: It’s time for a paradigm shift

Amoebic peritonitis secondary to rupture of amoebic liver abscess (ALA) has been reported to occur in 2.4 to 13% of cases with a high fatality rate. There is still no consensus as to how a ruptured ALA associated with diffuse amoebic peritonitis be optimally managed. The mortality rates following su...

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Autores principales: Kumar, Ramesh, Anand, Utpal, Priyadarshi, Rajeev N, Mohan, Shantam, Parasar, Kunal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wiley Publishing Asia Pty Ltd 2019
Materias:
Commentaries
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586569/
https://www.ncbi.nlm.nih.gov/pubmed/31276048
http://dx.doi.org/10.1002/jgh3.12144
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author Kumar, Ramesh
Anand, Utpal
Priyadarshi, Rajeev N
Mohan, Shantam
Parasar, Kunal
author_facet Kumar, Ramesh
Anand, Utpal
Priyadarshi, Rajeev N
Mohan, Shantam
Parasar, Kunal
author_sort Kumar, Ramesh
collection PubMed
description Amoebic peritonitis secondary to rupture of amoebic liver abscess (ALA) has been reported to occur in 2.4 to 13% of cases with a high fatality rate. There is still no consensus as to how a ruptured ALA associated with diffuse amoebic peritonitis be optimally managed. The mortality rates following surgical therapy in patients with ruptured ALA freely into the peritoneum have ranged from 20%‐ to 50%. The introduction of percutaneous catheter drainage (PCD) has opened a new therapeutic possibility for this group of patients and emerging data suggest that PCD should be the preferred option in such group of patients. [Image: see text]
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spelling pubmed-65865692019-07-02 Management of amoebic peritonitis due to ruptured amoebic liver abscess: It’s time for a paradigm shift Kumar, Ramesh Anand, Utpal Priyadarshi, Rajeev N Mohan, Shantam Parasar, Kunal JGH Open Commentaries Amoebic peritonitis secondary to rupture of amoebic liver abscess (ALA) has been reported to occur in 2.4 to 13% of cases with a high fatality rate. There is still no consensus as to how a ruptured ALA associated with diffuse amoebic peritonitis be optimally managed. The mortality rates following surgical therapy in patients with ruptured ALA freely into the peritoneum have ranged from 20%‐ to 50%. The introduction of percutaneous catheter drainage (PCD) has opened a new therapeutic possibility for this group of patients and emerging data suggest that PCD should be the preferred option in such group of patients. [Image: see text] Wiley Publishing Asia Pty Ltd 2019-02-08 /pmc/articles/PMC6586569/ /pubmed/31276048 http://dx.doi.org/10.1002/jgh3.12144 Text en © 2019 The Authors. JGH Open: An open access journal of gastroenterology and hepatology published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Commentaries
Kumar, Ramesh
Anand, Utpal
Priyadarshi, Rajeev N
Mohan, Shantam
Parasar, Kunal
Management of amoebic peritonitis due to ruptured amoebic liver abscess: It’s time for a paradigm shift
title Management of amoebic peritonitis due to ruptured amoebic liver abscess: It’s time for a paradigm shift
title_full Management of amoebic peritonitis due to ruptured amoebic liver abscess: It’s time for a paradigm shift
title_fullStr Management of amoebic peritonitis due to ruptured amoebic liver abscess: It’s time for a paradigm shift
title_full_unstemmed Management of amoebic peritonitis due to ruptured amoebic liver abscess: It’s time for a paradigm shift
title_short Management of amoebic peritonitis due to ruptured amoebic liver abscess: It’s time for a paradigm shift
title_sort management of amoebic peritonitis due to ruptured amoebic liver abscess: it’s time for a paradigm shift
topic Commentaries
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586569/
https://www.ncbi.nlm.nih.gov/pubmed/31276048
http://dx.doi.org/10.1002/jgh3.12144
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