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Original Article

Changes in Sonographic Findings after Treatment of Patients with Clonorchiasis in a Heavy Endemic Area

Dongil Choi1, Yong Hwan Jeon2, Geun-Chan Lee3, Min-Ho Choi3, Sung-Tae Hong3
The Korean Journal of Parasitology 2009;47(1):19-23.
Published online: March 12, 2009

1Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea.

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Corresponding author (hst@snu.ac.kr)
• Received: November 10, 2008   • Revised: January 30, 2009   • Accepted: February 6, 2009

Copyright © 2009 by The Korean Society for Parasitology

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Changes in Sonographic Findings after Treatment of Patients with Clonorchiasis in a Heavy Endemic Area
Korean J Parasitol. 2009;47(1):19-23.   Published online March 12, 2009
DOI: https://doi.org/10.3347/kjp.2009.47.1.19
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Changes in Sonographic Findings after Treatment of Patients with Clonorchiasis in a Heavy Endemic Area
Korean J Parasitol. 2009;47(1):19-23.   Published online March 12, 2009
DOI: https://doi.org/10.3347/kjp.2009.47.1.19
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Changes in Sonographic Findings after Treatment of Patients with Clonorchiasis in a Heavy Endemic Area
Image Image Image
Fig. 1 Sonograms of a patient with egg-negative conversion by treatment. Transverse scan before treatment (A) of the left hepatic lobe shows severe dilatation of the intrahepatic bile ducts (IHDs) (arrows). Diameter of the IHD is larger than that of the adjacent portal vein. Dilatation of the IHD is improved to mild degree (arrows) 1 year after treatment (B). IHD is dilated but its diameter is smaller than that of the adjacent portal vein.
Fig. 2 Sonograms of another patient with egg-negative conversion. Transverse scan before treatment (A) of the right hepatic lobe shows moderately increased periductal echogenicity (arrows). Increased periductal echogenicity is improved to mild degree (arrows) 1 A B year after treatment (B).
Fig. 3 Sonograms of a patient with egg-negative conversion after treatment. Many floating echogenic foci (arrows) in the gallbladder before treatment (A) are no longer seen 1 A B year after treatment (B).

Fig. 1

Fig. 2

Fig. 3

Changes in Sonographic Findings after Treatment of Patients with Clonorchiasis in a Heavy Endemic Area
EPG grades No. of subjects Positive sonographic findings (%)
DDIHD (%) IPDE (%) FEFGB (%) 0 142 139 (97.9) 75 (52.8) 51 (35.9) 1-500 127 125 (98.4) 75 (59.1) 54 (42.5) 501-2,000 112 110 (98.2) 60 (53.6) 38 (33.9) 2,001- 93 93 (100) 39 (41.9) 30 (32.3) Total 474 467 (98.5) 247 (52.1) 173 (36.5) Parameters Egg-negative conversion after treatment (n=83) Egg-positive after treatment (n=49) P value Age (year, mean + SD) 12 - 78 (42.9 + 11.1) 12 - 80 (42.3 + 12.8) 0.77a Male gender (%) 41 (49.3) 27 (55.1) 0.65b EPGs before treatment 0.84b  <500 45 24  501-2,000 27 18  2,001 and over 11 7 Sonographic findings Changes by treatment No. of subjects (n = 83) P valuea DDIHD Improved 3 0.625 Aggravated 1 Unchanged 79 IPDE Improved 5 0.581 Aggravated 8 Unchanged 70 FEFGB Improved 20 0.004 Aggravated 5 Unchanged 58
Table 1. Number of subjects by positive sonographic findings by EPG (eggs per gram of feces) grades before treatment, 2004

DDIHD, diffuse dilatation of intrahepatic bile ducts; IPDE, increased periductal echogenicity; FEFGB, floating echogenic foci in the gallbladder.

Table 2. Demographic characteristics and numbers of egg-negative conversion by EPG grades before treatment

Independent Student t-test;

Chi-square test.

EPG, eggs per gram of feces.

Table 3. Changes of sonographic findings in the egg-negative conversion group

Sign test.

DDIHD, diffuse dilatation of intrahepatic bile ducts; IPDE, increased periductal echogenicity; FEFGB, floating echogenic foci in the gallbladder.

Table 1.

Table 2.

Table 3.

PHD : Parasites, Hosts and Diseases

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