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Is RTA a new potential option for the treatment of hydatid cysts?
Date:7/24/2009

ieve the results could have immediate and relevant implications for clinical management of patients with hydatid disease. When applied to humans this technique could have the following advantages: (1) RTA is able to warm and irreversibly damage hydatid cysts in a single section, since the entire cyst wall is made necrotic by a peculiar heat-related mechanism; (2) avoiding the use of chemical media, there is no risk of chemical cholangitis or pneumonia, so, unlike PAIR, the existence of cysto-biliary communication would no longer be a contraindication to percutaneous treatment of hydatid cysts; and (3) the persistence of endocyst attachment to the pericystium should help avoid, or greatly decrease, post-RTA fistula occurrence and consequent overlapping complications.

Finally, the results of this research seem to suggest that RTA could potentially be used to attempt treatment of other types of cystic lesions that require ablation; for example in the symptomatic treatment of cysts in polycystic disease; cystic neoplasms; pancreatic pseudocysts, etc. This, of course, would require in vivo study, but before using a new technique on humans, preliminary experimental data are needed.


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Contact: Lai-Fu Li
wjg@wjgnet.com
86-105-908-0039
World Journal of Gastroenterology
Source:Eurekalert

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