Endoscopic management of hepatic hydatid cyst with biliary communication

摘要: Background and Aim:  A serious complication of hepatic hydatid cyst disease is communication between the biliary tree. Surgical management fistulas associated with high morbidity mortality. We carried out a prospective study endoscopic cysts communicating bile ducts in 28 patients. Methods:  Presence fistula was suspected by jaundice and/or persistent external after surgical excision confirmed retrograde cholangiopancreatography (ERCP). Patients underwent sphincterotomy, either stenting or nasobiliary drainage. Nasobiliary drains were removed when leakage stopped closure cholangiography; stents 4–6 weeks. Results:  Of 120 patients seen over 10-year period, developed intrahepatic (right 20 patients, left eight patients). Nine had surgery. Ten showed membranes on cholangiography. sphincterotomy insertion drain (n = 6) (n = 22). In 10 from during ERCP. Fistulas healed all median time 11 days (range 5–45 days) treatment. able to remove drainage catheters 8–45 placement. Conclusions:  Endoscopic therapy an effective mode treatment for complicating cyst.