13 Sep

Management of polycystic liver disease: CLASSIFICATION (Part 2)

Morino et al classified PCLD into type 1 and type 2 based on cyst size, number and location. Type 1 PCLD has large cysts located mainly on the liver surface, while type 2 PCLD consists of diffuse small cysts all over the liver. Gigot et al stratified individuals based on cyst size, number and amount of hepatic parenchyma remaining. Patients with PCLD type I have a limited number (fewer than 10) of large (greater than 10 cm) cysts. Type II includes those with diffuse, medium-sized cysts with large areas of remaining parenchyma. Type III patients were defined as those with diffuse cysts of small to medium size with few areas of normal liver parenchyma.

Most patients with PCLD are asymptomatic and therefore do not require active treatment. The main indications for treatment are acute cystic complications or debilitating symptoms, which are usually secondary to the mass effect of several cysts or a few large dominant cysts, or the combination of both. Occasionally, large cysts can be aspirated beforehand to determine symptoms that may be associated with PCLD. There are several interventions available and the goal is reduction in hepatic cyst burden sufficient to relieve the mass effect while taking into account the incompletely defined long-term efficacies and widely variable morbidities of each procedure. All studies to date are retrospective and, therefore, a direct comparison of the available procedures is problematic. Shop with best online pharmacy and find Sale Cialis Professional buy here getting the most out of it.

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