The use of ERCP in the study of patients with hepatic echinococcosis before and after surgical intervention

作者: Christos Spiliadis , Sotirios Georgopoulos , Apostolos Dailianas , Anastasios Konstantinidis , Michael Rimikis

DOI: 10.1016/S0016-5107(96)70194-3

关键词: Common bile ductHelminthiasisBiliary fistulaEndoscopyMedicineBiliary colicComplicationSurgeryLiver diseaseBile duct

摘要: Abstract Background: Biliary tree involvement is the most common complication of hydatid liver disease, which difficult to detect and manage. Methods: During last 7 years, we examined by ERCP 26 cases with echinococcal involvement. Indications in preoperative group included cholangitis 6 cases, right-sided hypochondralgia involving 4, assessment icterus 1 case. In postoperative group, indications for were 5 external biliary fistulas 5, colic Results: findings bile duct compression 11 (73.3%), fistula affecting 3 (20%), remnants within case (6.6%). With regard formation was detected (54.5%), 4 (36.3%), (9%). Endoscopic sphincterotomy successfully performed 13 patients both groups. No serious complications encountered. Conclusion: a safe helpful or tool that aids diagnosis often treatment disease ducts. (Gastrointest Endosc 1996;43:575-9)

参考文章(18)
V. F. Moreira, E. Meroño, M. A. Simon, T. Garcia, D. Aguilera, L. Ruiz Arbol, A. Garcia-Plaza, Endoscopic retrograde cholangiopancreatography in Echinococcus (hydatid) cysts of the liver Abdominal Imaging. ,vol. 10, pp. 123- 128 ,(1985) , 10.1007/BF01893085
Jose Luis Barros, Hydatid disease of the liver The American Journal of Surgery. ,vol. 135, pp. 597- 600 ,(1978) , 10.1016/0002-9610(78)90043-0
Bala R. Subramanyam, Emil J. Balthazar, David P. Naidich, Ruptured hydatid cyst with biliary obstruction: diagnosis by sonography and computed tomography. Abdominal Imaging. ,vol. 8, pp. 341- 343 ,(1983) , 10.1007/BF01948147
M. A. Al Karawi, M. I. Yasawy, A. R. El Shiekh Mohamed, Endoscopic management of biliary hydatid disease: report on six cases. Endoscopy. ,vol. 23, pp. 278- 281 ,(1991) , 10.1055/S-2007-1010686
Mostafa A.H. Ibrahim, Hidenori Kawanishi, Endoscopic retrograde cholangiography in the evaluation of complicated echinococcosis of the liver Gastrointestinal Endoscopy. ,vol. 27, pp. 20- 22 ,(1981) , 10.1016/S0016-5107(81)73136-5
Paolo Magistrelli, Riccardo Masetti, Roberto Coppola, Guido Costamagna, Vittorio Durastante, Gennaro Nuzzo, Aurelio Picciocchi, Value of ERCP in the diagnosis and management of pre- and postoperative biliary complications in hydatid disease of the liver. Abdominal Imaging. ,vol. 14, pp. 315- 320 ,(1989) , 10.1007/BF01889226
M. Cottone, M. Amuso, P. B. Cotton, Endoscopic retrograde cholangiography in hepatic hydatid disease. British Journal of Surgery. ,vol. 65, pp. 107- 108 ,(2005) , 10.1002/BJS.1800650211
M. L. Vignote, G. Miño, M. de la Mata, J. F. de Diosand, F. Gomez, Endoscopic sphincterotomy in hepatic hydatid disease open to the biliary tree British Journal of Surgery. ,vol. 77, pp. 30- 31 ,(2005) , 10.1002/BJS.1800770110
J. D. Harris, Rupture of hydatid cysts of the liver into the biliary tracts British Journal of Surgery. ,vol. 52, pp. 210- 214 ,(1965) , 10.1002/BJS.1800520317
JOSEPH W. LEWIS, NEAL KOSS, MORRIS D. KERSTEIN, A Review of Echinococcal Disease Annals of Surgery. ,vol. 181, pp. 390- 396 ,(1975) , 10.1097/00000658-197504000-00004