Z Gastroenterol 2016; 54(02): 155-166
DOI: 10.1055/s-0041-106594
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Percutaneous sclerotherapy of liver and renal cysts, comments on the EFSUMB guidelines

Perkutane Therapie von Leber- und Nierenzysten, Kommentare zu den EFSUMB-Leitlinien
C. F. Dietrich
1   Innere Medizin 2, Caritas Krankenhaus Bad Mergentheim, Germany
,
L. Chiorean
1   Innere Medizin 2, Caritas Krankenhaus Bad Mergentheim, Germany
,
A. Potthoff
2   Gastroenterology, Hepatology and Endocrinology, Medizinische Hochschule, Hannover, Germany
,
A. Ignee
1   Innere Medizin 2, Caritas Krankenhaus Bad Mergentheim, Germany
,
X. Cui
1   Innere Medizin 2, Caritas Krankenhaus Bad Mergentheim, Germany
,
Z. Sparchez
3   Gastroenterology, University of Medicine and Pharmacy “Iuliu Hatieganu”, Institute for Gastroenterology and Hepatology “O.Fodor”, Cluj-Napoca, Romania
› Author Affiliations
Further Information

Publication History

26 March 2015

02 September 2015

Publication Date:
08 February 2016 (online)

Abstract

Cystic lesions in the liver and kidneys are common incidental findings. They are generally benign and require no treatment. They can appear sporadically or as part of a syndrome, and are characterised by their anechoic structure and posterior enhancement in ultrasound imaging. Increased size, haemorrhage or infection of a cyst can lead to development of symptoms. Along with surgical options and laparoscopic cyst fenestration, ultrasound-guided sclerotherapy of symptomatic cysts represents an effective and safe minimally invasive treatment option.

Zusammenfassung

Zystische Läsionen in der Leber und den Nieren sind häufige Zufallsbefunde. Sie sind in der Regel benigne und bedürfen keiner Behandlung. Sie können sporadisch oder als Teil von Syndromen auftreten und sind durch ihre echofreie Struktur und der dorsalen Schallverstärkung im Ultraschall charakterisiert. Eine Größenzunahme, Einblutung oder Infektion der Zyste kann zu Beschwerden führen. Die ultraschallgesteuerte Sklerosierungtherapie symptomatischer Zysten stellt neben den chirurgischen Optionen, wie die laparoskopische Zystenentdachung eine sichere minimalinvasive und effektive Behandlungsoption dar.

 
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