Retrospective Analysis of Echinococcosis in an Endemic Region of Turkey, a Review of 193 Cases

Background: The hydatidosis is endemic in our region. Some of the recent studies revealed that hydatid cyst prevalence is decreasing gradually in Turkey. The aim of this study was to investigate the actual preva­lence of hydatidosis in an endemic region of Turkey, and to share our experiences in the...

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Main Authors: S Gulsun, B Cakabay, M Nail Kandemır, S Aslan, B Atalay, N Sogutcu, O Satıcı, M Kangın
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2010-09-01
Series:Iranian Journal of Parasitology
Subjects:
Online Access:https://ijpa.tums.ac.ir/index.php/ijpa/article/view/142
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author S Gulsun
B Cakabay
M Nail Kandemır
S Aslan
B Atalay
N Sogutcu
O Satıcı
M Kangın
author_facet S Gulsun
B Cakabay
M Nail Kandemır
S Aslan
B Atalay
N Sogutcu
O Satıcı
M Kangın
author_sort S Gulsun
collection DOAJ
description Background: The hydatidosis is endemic in our region. Some of the recent studies revealed that hydatid cyst prevalence is decreasing gradually in Turkey. The aim of this study was to investigate the actual preva­lence of hydatidosis in an endemic region of Turkey, and to share our experiences in the medical and surgi­cal management of hydatidosis. Methods: Data were collected retrospectively from the records of 193 patients who had a diagnosis of hydatidosis, and admitted to Diyarbakir Education and Research Hospital. Imaging techniques, histology and serology were used for diagnosis. Results: From records of 772 cystic patients whose cysts were localized in the lung and liver, 193 (25%) of them were diagnosed with cyst hydatidosis. Lung hydatidosis was found statistically significant among these cases (Chi-square=24.88, P< 0.0001). Postoperative recurrence was detected in seven (3.62%) pa­tients. All postoperative recurrences were observed in the consequent three years period. Conclusion: The prevalence of hydatidosis is still high in southeast Turkey and not only in children but also in adult cases in our region lung hydatidosis is frequent corresponding with other organ hydatidosis. We also found that the most risky period in recurrence rates is the consequent post-operative three years. According to our experiences, transthoracic approach in lung hydatidosis, external drainage, and cystec­tomy in liver hydatidosis is safe and effective choices in surgical treatment.
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spelling doaj.art-943cadcef42746feba0041e76e2424942022-12-22T04:07:10ZengTehran University of Medical SciencesIranian Journal of Parasitology1735-70202008-238X2010-09-0153Retrospective Analysis of Echinococcosis in an Endemic Region of Turkey, a Review of 193 CasesS Gulsun0B Cakabay1M Nail Kandemır2S Aslan3B Atalay4N Sogutcu5O Satıcı6M Kangın7Department of Infectious Diseases and Clinical Microbiology, Diyarbakir Education and Research Hospital, Diyarbakir, TurkeyDepartment of General Surgery, Diyarbakir Education and Research Hospital, Diyarbakir, TurkeyDepartment of Thoracic and Vascular Surgery, Diyarbakir Education and Research Hospital, Diyarbakir, TurkeyDepartment of Infectious Diseases and Clinical Microbiology, Diyarbakir Education and Research Hospital, Diyarbakir, TurkeyDepartment of Radiology, Diyarbakir Education and Research Hospital, Diyarbakir, TurkeyDepartment of Pathology, Diyarbakir Education and Research Hospital, Diyarbakir, TurkeyDepartment of Statistics, Dicle University, Diyarbakir, TurkeyDepartment of Pediatrics, Diyarbakir Education and Research Hospital, Diyarbakir, TurkeyBackground: The hydatidosis is endemic in our region. Some of the recent studies revealed that hydatid cyst prevalence is decreasing gradually in Turkey. The aim of this study was to investigate the actual preva­lence of hydatidosis in an endemic region of Turkey, and to share our experiences in the medical and surgi­cal management of hydatidosis. Methods: Data were collected retrospectively from the records of 193 patients who had a diagnosis of hydatidosis, and admitted to Diyarbakir Education and Research Hospital. Imaging techniques, histology and serology were used for diagnosis. Results: From records of 772 cystic patients whose cysts were localized in the lung and liver, 193 (25%) of them were diagnosed with cyst hydatidosis. Lung hydatidosis was found statistically significant among these cases (Chi-square=24.88, P< 0.0001). Postoperative recurrence was detected in seven (3.62%) pa­tients. All postoperative recurrences were observed in the consequent three years period. Conclusion: The prevalence of hydatidosis is still high in southeast Turkey and not only in children but also in adult cases in our region lung hydatidosis is frequent corresponding with other organ hydatidosis. We also found that the most risky period in recurrence rates is the consequent post-operative three years. According to our experiences, transthoracic approach in lung hydatidosis, external drainage, and cystec­tomy in liver hydatidosis is safe and effective choices in surgical treatment.https://ijpa.tums.ac.ir/index.php/ijpa/article/view/142EchinococcosisLungLiverTurkey
spellingShingle S Gulsun
B Cakabay
M Nail Kandemır
S Aslan
B Atalay
N Sogutcu
O Satıcı
M Kangın
Retrospective Analysis of Echinococcosis in an Endemic Region of Turkey, a Review of 193 Cases
Iranian Journal of Parasitology
Echinococcosis
Lung
Liver
Turkey
title Retrospective Analysis of Echinococcosis in an Endemic Region of Turkey, a Review of 193 Cases
title_full Retrospective Analysis of Echinococcosis in an Endemic Region of Turkey, a Review of 193 Cases
title_fullStr Retrospective Analysis of Echinococcosis in an Endemic Region of Turkey, a Review of 193 Cases
title_full_unstemmed Retrospective Analysis of Echinococcosis in an Endemic Region of Turkey, a Review of 193 Cases
title_short Retrospective Analysis of Echinococcosis in an Endemic Region of Turkey, a Review of 193 Cases
title_sort retrospective analysis of echinococcosis in an endemic region of turkey a review of 193 cases
topic Echinococcosis
Lung
Liver
Turkey
url https://ijpa.tums.ac.ir/index.php/ijpa/article/view/142
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AT bcakabay retrospectiveanalysisofechinococcosisinanendemicregionofturkeyareviewof193cases
AT mnailkandemır retrospectiveanalysisofechinococcosisinanendemicregionofturkeyareviewof193cases
AT saslan retrospectiveanalysisofechinococcosisinanendemicregionofturkeyareviewof193cases
AT batalay retrospectiveanalysisofechinococcosisinanendemicregionofturkeyareviewof193cases
AT nsogutcu retrospectiveanalysisofechinococcosisinanendemicregionofturkeyareviewof193cases
AT osatıcı retrospectiveanalysisofechinococcosisinanendemicregionofturkeyareviewof193cases
AT mkangın retrospectiveanalysisofechinococcosisinanendemicregionofturkeyareviewof193cases