Which interventional procedures are used in the treatment of alveolar echinococcosis (AE)?

Updated: May 07, 2019
  • Author: Imad S Dandan, MD; Chief Editor: BS Anand, MD  more...
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Answer

Patients with AE require interventional procedures when radical complete resective surgery is not possible. Local complications may occur. These interfere with the function of the organ and may be alleviated by certain interventional procedures. These procedures can be performed endoscopically or under ultrasound or CT guidance. Dilatation, stenting, drainage of collections, and sclerosis of esophageal varices are some examples. Note the following:

  • Indications: These include hyperbilirubinemia, vena cava thrombosis, portal vein thrombosis, necrotic collections, and bleeding esophageal varices.

  • Contraindications: Postinterventional chemotherapy is not possible, and the risk of spreading the parasite is high.


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