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Dr AvinashTank, is a super-specialist (MCh) Laparoscopic Gastro-intestinal Surgeon,
LIVER HYDATID CYST
Hydatid cyst is an infection caused by a parasite named Echinococcus. The infection commonly manifests as a cyst (fluid filled cavity) in the liver (50–70%) and less frequently the lung, the spleen, the kidney, the bones, and the brain. This disease is also known as Echinococcal cyst, Hydatidosis; Hydatid disease, Hydatid cyst disease.
Risk Factor
Hydatid cyst is an infection caused by a parasite named Echinococcus. The infection commonly manifests as a cyst (fluid filled cavity) in the liver (50–70%) and less frequently the lung, the spleen, the kidney, the bones, and the brain. This disease is also known as Echinococcal cyst, Hydatidosis; Hydatid disease, Hydatid cyst disease.
Symptoms
A small hydatid cyst (< 5 cm) usually doesn’t cause any symptoms. Enlarging hydatid cyst may cause pain in the upper right part of the abdomen, fever, persistent itching, chest pain or cough. Complicated cysts may present with varied symptoms such as fever, jaundice or cough with blood in sputum.
Diagnosis
Usually liver hydatid cyst is diagnosed incidentally when investigated for another disease. The following tests may be done to find the cysts: blood tests, including liver function tests, ultrasound, abdominal CT scan.
Complications
Cyst infection, Cyst rupture in abdomen, bile-duct, lung or any nearby organ.
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Treatment
There are 3 type of treatment for hydatid cyst
Medical treatment: Its the first line of treatment. Anti-parasitic medicines (albendazole or mebendazole) are given for longer time (for upto 3 months).
Percutaneous treatment: Cyst is puncture under guidance of ultrasound then sclerosant (cyst wall damaging medicine) & protoscolicidal medicine is injected. This procedure is known as PAIR (Puncture, Aspiration of cyst content, Injection of protoscolicidal medicine and Re-aspiration of fluid. This treatment is suitable for univesicular type of hydatid cysts.
This treatment is not suitable for complicated hydatid cyst, deeply placed cyst or if cyst is close to major blood vessels of liver. In this situation, surgery is preferred treatment.
Surgery: Surgery is most preferred treatment for hydatid cyst. The cysts may have to be removed surgically when they do not respond to medical therapy or complications develop in the cysts. There are various types of surgical procedures described for treatment of hydatid cysts, the most complete removal is achieved by cysto-peri-cystectomy, which offers the best chance of cure from the infection, with least chances of recurrent infection.
DR. AVINASH TANK
- Super-specialist Liver, Gastro, Obesity & Cancer Surgeon
- Trained from Best Centres of India: SMS Medical College Jaipur (Rajasthan); Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow (UP). Dr Avinash Tank is the best bariatric surgeon in Ahmedabad, India.
- Rewarded Fellowship in
- Laparoscopic Liver Surgery & Liver Transplantation from South Korea
- Advanced Pancreas Surgery from Japan.
- Bariatric Surgery (IAGES), India.
- Recipient of many National & International Awards for clinical research.
- Awards with Photos
- Best Obesity & Gastro Surgeon: Deputy Chief Minister of Gujarat, 2019
- Heroes 2019: Excellence in Gastro & Obesity Surgery.
- Obesity Doctor of Year 2020, at Vyapaar Jagat Convention & Awards, 2020.
- Top Achievements
- Gall stones: We removed 1070 stones of gall-bladder by laparoscopic surgery. This news is covered in Divya Bhaskar newspaper on 1st April 2019.
- Highest Weight Reduction.
- 80 Kg Weight reduction (167 kg to 80kg) within 1 year after surgery
- Diabetes Free Life
- All blood-sugar levels are normal within 48 hrs of surgery
- All diabetes medicines are stopped after surgery
- Cancer Free Life
- 12 years of Cancer Free Life after Stomach & Colon Cancer Surgery.
- Acidity
- 10 year old acidity (Reflux) problem is solved by 2 hours of surgery.
- Intestine Surgery
- 3 Idiots fame Bollywood Writer Abhijat Joshi’s father was operated for intestine blockage.
- Past Designations
- Ex Founder Head of Department of Liver, Gastro, Obesity Surgery at Shalby Hospital (2010 to 2017).
- Ex Visiting Consultant, Civil Hospital, BJ Medical College, Ahmedabad.
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