Chemical pleurodesis by small bore catheter in hepatic hydrothorax: A feasibility study
Background: Hepatic hydrothorax treatment remains problematic, and chemical pleurodesis can be considered. Objectives: The aim of this study is to compare the efficacy and safety of chemical pleurodesis by small bore catheter to tube drainage in hepatic hydrothorax. Methods: A randomized clinical st...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Egyptian Journal of Chest Disease and Tuberculosis |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0422763815300935 |
| _version_ | 1818550096432726016 |
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| author | Asem A. Hewidy Nasef Abdelsalam A. Rezk Ahmed Abdel-Razik |
| author_facet | Asem A. Hewidy Nasef Abdelsalam A. Rezk Ahmed Abdel-Razik |
| author_sort | Asem A. Hewidy |
| collection | DOAJ |
| description | Background: Hepatic hydrothorax treatment remains problematic, and chemical pleurodesis can be considered.
Objectives: The aim of this study is to compare the efficacy and safety of chemical pleurodesis by small bore catheter to tube drainage in hepatic hydrothorax.
Methods: A randomized clinical study included 30 patients with hepatic hydrothorax who were admitted to Chest Department, Mansoura University Hospital, Egypt from 2011 to 2014. Patients diagnosed with exudative effusion, renal impairment, hepatic encephalopathy were excluded. Patients were divided into 2 groups; group A (20 patients) managed by small catheter and group B (10 patients) managed by intercostal tube, chemical pleurodesis in both groups was done by Viscum. Clinical, radiological data and hospital stay duration were adopted for comparison between both groups.
Results: Pleurodesis was successful in group A 65% (13 patients) and in group B 70% (7 patients). Hospital stay duration was 10 days for group A and 11 days for group B. Post procedure chest pain score was less in group A than group B which was statistically significant. No serious complications and no mortality occured.
Conclusions: Small bore catheter chemical pleurodesis has successful outcome, less post procedure chest pain and minimal complications in refractory hepatic hydrothorax. |
| first_indexed | 2024-12-12T08:41:53Z |
| format | Article |
| id | doaj.art-d2de6bddc38e4715882632d0c12bb31d |
| institution | Directory Open Access Journal |
| issn | 0422-7638 |
| language | English |
| last_indexed | 2024-12-12T08:41:53Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Egyptian Journal of Chest Disease and Tuberculosis |
| spelling | doaj.art-d2de6bddc38e4715882632d0c12bb31d2022-12-22T00:30:45ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382016-01-0165118719210.1016/j.ejcdt.2015.10.002Chemical pleurodesis by small bore catheter in hepatic hydrothorax: A feasibility studyAsem A. Hewidy0Nasef Abdelsalam A. Rezk1Ahmed Abdel-Razik2Chest Medicine Department, Mansoura University, EgyptChest Medicine Department, Mansoura University, EgyptTropical Meduicine Department, Mansoura University, EgyptBackground: Hepatic hydrothorax treatment remains problematic, and chemical pleurodesis can be considered. Objectives: The aim of this study is to compare the efficacy and safety of chemical pleurodesis by small bore catheter to tube drainage in hepatic hydrothorax. Methods: A randomized clinical study included 30 patients with hepatic hydrothorax who were admitted to Chest Department, Mansoura University Hospital, Egypt from 2011 to 2014. Patients diagnosed with exudative effusion, renal impairment, hepatic encephalopathy were excluded. Patients were divided into 2 groups; group A (20 patients) managed by small catheter and group B (10 patients) managed by intercostal tube, chemical pleurodesis in both groups was done by Viscum. Clinical, radiological data and hospital stay duration were adopted for comparison between both groups. Results: Pleurodesis was successful in group A 65% (13 patients) and in group B 70% (7 patients). Hospital stay duration was 10 days for group A and 11 days for group B. Post procedure chest pain score was less in group A than group B which was statistically significant. No serious complications and no mortality occured. Conclusions: Small bore catheter chemical pleurodesis has successful outcome, less post procedure chest pain and minimal complications in refractory hepatic hydrothorax.http://www.sciencedirect.com/science/article/pii/S0422763815300935Chemical pleurodesisSmall boreHepatic hydrothorax |
| spellingShingle | Asem A. Hewidy Nasef Abdelsalam A. Rezk Ahmed Abdel-Razik Chemical pleurodesis by small bore catheter in hepatic hydrothorax: A feasibility study Egyptian Journal of Chest Disease and Tuberculosis Chemical pleurodesis Small bore Hepatic hydrothorax |
| title | Chemical pleurodesis by small bore catheter in hepatic hydrothorax: A feasibility study |
| title_full | Chemical pleurodesis by small bore catheter in hepatic hydrothorax: A feasibility study |
| title_fullStr | Chemical pleurodesis by small bore catheter in hepatic hydrothorax: A feasibility study |
| title_full_unstemmed | Chemical pleurodesis by small bore catheter in hepatic hydrothorax: A feasibility study |
| title_short | Chemical pleurodesis by small bore catheter in hepatic hydrothorax: A feasibility study |
| title_sort | chemical pleurodesis by small bore catheter in hepatic hydrothorax a feasibility study |
| topic | Chemical pleurodesis Small bore Hepatic hydrothorax |
| url | http://www.sciencedirect.com/science/article/pii/S0422763815300935 |
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