PERCUTANEOUS ETHANOL INJECTION IN BENIGN NONTOXIC MULTINODULAR GOITER

Detalhes bibliográficos
Autor(a) principal: Lorda, Lázaro
Data de Publicação: 2023
Outros Autores: Igarza, Jacinto Oscar Navas, Gómez, Osvaldo Miranda, López, Henry Pérez, Alfonso, Teresa Lago, Campa, Belkis Ortega de la
Tipo de documento: preprint
Idioma: eng
Título da fonte: SciELO Preprints
Texto Completo: https://preprints.scielo.org/index.php/scielo/preprint/view/6384
Resumo: Introduction: Benign non-toxic multinodular goiter is one of the most common endocrine diseases that affect the current population, and it is, in turn, the endocrine disease that most frequently requires surgical intervention. Objective: To show the results of percutaneous ethanol injection in the treatment of patients with benign non-toxic multinodular goiter in the short and medium term. Methods: A prospective longitudinal study was conducted in patients with benign nontoxic multinodular goiter treated with percutaneous ethanol injection. The categorical variables were described by absolute frequencies and percentages, and for the numerical variables the mean, standard deviation, as well as the minimum and maximum values were calculated. To evaluate the changes between the initial and final volumes of the nodules, the Student's t-test for related samples was used. Results: The mean percentage reduction in the volume of the nodules was 48.23 ± 9.55; 58.05 ± 11.79 and 69.49 ± 13.11; a month, 3 months and 6 months after the treatment, respectively. Clinical success was complete in 67.3%, 75.5%, and 87.8% of the patients, at 1, 3, and 6 months of post-treatment follow-up, respectively. There were no complications. Conclusions: Percutaneous ethanol injection is an alternative to surgery for the treatment of patients with benign non-toxic multinodular goiter, it is safe, effective, with transient adverse effects and very rare complications in the short and medium term.
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spelling PERCUTANEOUS ETHANOL INJECTION IN BENIGN NONTOXIC MULTINODULAR GOITERGoitertherapyethanolIntroduction: Benign non-toxic multinodular goiter is one of the most common endocrine diseases that affect the current population, and it is, in turn, the endocrine disease that most frequently requires surgical intervention. Objective: To show the results of percutaneous ethanol injection in the treatment of patients with benign non-toxic multinodular goiter in the short and medium term. Methods: A prospective longitudinal study was conducted in patients with benign nontoxic multinodular goiter treated with percutaneous ethanol injection. The categorical variables were described by absolute frequencies and percentages, and for the numerical variables the mean, standard deviation, as well as the minimum and maximum values were calculated. To evaluate the changes between the initial and final volumes of the nodules, the Student's t-test for related samples was used. Results: The mean percentage reduction in the volume of the nodules was 48.23 ± 9.55; 58.05 ± 11.79 and 69.49 ± 13.11; a month, 3 months and 6 months after the treatment, respectively. Clinical success was complete in 67.3%, 75.5%, and 87.8% of the patients, at 1, 3, and 6 months of post-treatment follow-up, respectively. There were no complications. Conclusions: Percutaneous ethanol injection is an alternative to surgery for the treatment of patients with benign non-toxic multinodular goiter, it is safe, effective, with transient adverse effects and very rare complications in the short and medium term.RESUMENIntroducción: El bocio multinodular no tóxico benigno es una de las enfermedadesendocrinas más comunes que afectan a la población actual, y es a su vez la enfermedadendocrina que con mayor frecuencia requiere intervención quirúrgica.Objetivo: Mostrar los resultados de la inyección percutánea de etanol en el tratamiento depacientes con bocio multinodular no tóxico benigno a corto y mediano plazo.Métodos: Se realizó un estudio longitudinal, prospectivo, en pacientes con bociomultinodular no tóxico benigno, tratados con inyección percutánea de etanol. Las variablescategóricas se describieron por frecuencias absolutas y porcentajes y para las numéricas secalculó la media, la desviación estándar, así como el valor mínimo y el máximo. Paraevaluar los cambios entre los volúmenes inicial y final de los nódulos se utilizó la prueba t deStudent para muestras relacionadas.Resultados: La media del porciento de reducción del volumen de los nódulos fue de 48,23 ±9,55; 58,05 ± 11,79 y 69,49 ± 13,11; al mes, 3 meses y 6 meses de realizado el tratamientorespectivamente. El éxito clínico fue completo en el 67,3 %, 75,5 % y el 87,8 % de lospacientes, al mes, 3 meses y 6 meses de seguimiento post tratamiento respectivamente. Nose presentaron complicaciones.Conclusiones: La inyección percutánea de etanol es una alternativa a la cirugía para el tratamiento de los pacientes con bocio multinodular no tóxico benigno, es segura, efectiva, con efectos adversos transitorios y complicaciones muy poco frecuentes a corto y mediano plazo.Introdução: O bócio multinodular benigno não tóxico é uma das doenças endócrinas mais comuns que afetam a população atual, sendo, por sua vez, a doença endócrina que mais frequentemente requer intervenção cirúrgica. Objetivo: Mostrar os resultados da injeção percutânea de etanol no tratamento de pacientes com bócio multinodular benigno não tóxico a curto e médio prazo. Métodos: Foi realizado um estudo longitudinal prospectivo em pacientes com bócio multinodular benigno não tóxico tratados com injeção percutânea de etanol. As variáveis ​​categóricas foram descritas por frequências absolutas e percentuais, e para as variáveis ​​numéricas foram calculados a média, desvio padrão, bem como os valores mínimo e máximo. Para avaliar as mudanças entre os volumes inicial e final dos nódulos, foi utilizado o teste t de Student para amostras relacionadas. Resultados: A redução percentual média no volume dos nódulos foi de 48,23 ± 9,55; 58,05 ± 11,79 e 69,49 ± 13,11; um mês, 3 meses e 6 meses após o tratamento, respectivamente. O sucesso clínico foi completo em 67,3%, 75,5% e 87,8% dos pacientes, em 1, 3 e 6 meses de acompanhamento pós-tratamento, respectivamente. Não houve complicações. Conclusões: A injeção percutânea de etanol é uma alternativa à cirurgia para o tratamento de pacientes com bócio multinodular benigno não tóxico, é segura, eficaz, com efeitos adversos transitórios e complicações muito raras a curto e médio prazo.SciELO PreprintsSciELO PreprintsSciELO Preprints2023-07-10info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/638410.1590/SciELOPreprints.6384enghttps://preprints.scielo.org/index.php/scielo/article/view/6384/12183Copyright (c) 2023 Lázaro Lorda, Jacinto Oscar Navas Igarza, Osvaldo Miranda Gómez, Henry Pérez López; Teresa Lago Alfonso; Belkis Ortega de la Campahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLorda, LázaroIgarza, Jacinto Oscar NavasGómez, Osvaldo MirandaLópez, Henry PérezAlfonso, Teresa LagoCampa, Belkis Ortega de lareponame:SciELO Preprintsinstname:Scientific Electronic Library Online (SCIELO)instacron:SCI2023-07-08T02:31:51Zoai:ops.preprints.scielo.org:preprint/6384Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2023-07-08T02:31:51SciELO Preprints - Scientific Electronic Library Online (SCIELO)false
dc.title.none.fl_str_mv PERCUTANEOUS ETHANOL INJECTION IN BENIGN NONTOXIC MULTINODULAR GOITER
title PERCUTANEOUS ETHANOL INJECTION IN BENIGN NONTOXIC MULTINODULAR GOITER
spellingShingle PERCUTANEOUS ETHANOL INJECTION IN BENIGN NONTOXIC MULTINODULAR GOITER
Lorda, Lázaro
Goiter
therapy
ethanol
title_short PERCUTANEOUS ETHANOL INJECTION IN BENIGN NONTOXIC MULTINODULAR GOITER
title_full PERCUTANEOUS ETHANOL INJECTION IN BENIGN NONTOXIC MULTINODULAR GOITER
title_fullStr PERCUTANEOUS ETHANOL INJECTION IN BENIGN NONTOXIC MULTINODULAR GOITER
title_full_unstemmed PERCUTANEOUS ETHANOL INJECTION IN BENIGN NONTOXIC MULTINODULAR GOITER
title_sort PERCUTANEOUS ETHANOL INJECTION IN BENIGN NONTOXIC MULTINODULAR GOITER
author Lorda, Lázaro
author_facet Lorda, Lázaro
Igarza, Jacinto Oscar Navas
Gómez, Osvaldo Miranda
López, Henry Pérez
Alfonso, Teresa Lago
Campa, Belkis Ortega de la
author_role author
author2 Igarza, Jacinto Oscar Navas
Gómez, Osvaldo Miranda
López, Henry Pérez
Alfonso, Teresa Lago
Campa, Belkis Ortega de la
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Lorda, Lázaro
Igarza, Jacinto Oscar Navas
Gómez, Osvaldo Miranda
López, Henry Pérez
Alfonso, Teresa Lago
Campa, Belkis Ortega de la
dc.subject.por.fl_str_mv Goiter
therapy
ethanol
topic Goiter
therapy
ethanol
description Introduction: Benign non-toxic multinodular goiter is one of the most common endocrine diseases that affect the current population, and it is, in turn, the endocrine disease that most frequently requires surgical intervention. Objective: To show the results of percutaneous ethanol injection in the treatment of patients with benign non-toxic multinodular goiter in the short and medium term. Methods: A prospective longitudinal study was conducted in patients with benign nontoxic multinodular goiter treated with percutaneous ethanol injection. The categorical variables were described by absolute frequencies and percentages, and for the numerical variables the mean, standard deviation, as well as the minimum and maximum values were calculated. To evaluate the changes between the initial and final volumes of the nodules, the Student's t-test for related samples was used. Results: The mean percentage reduction in the volume of the nodules was 48.23 ± 9.55; 58.05 ± 11.79 and 69.49 ± 13.11; a month, 3 months and 6 months after the treatment, respectively. Clinical success was complete in 67.3%, 75.5%, and 87.8% of the patients, at 1, 3, and 6 months of post-treatment follow-up, respectively. There were no complications. Conclusions: Percutaneous ethanol injection is an alternative to surgery for the treatment of patients with benign non-toxic multinodular goiter, it is safe, effective, with transient adverse effects and very rare complications in the short and medium term.
publishDate 2023
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10.1590/SciELOPreprints.6384
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