Effectiveness of endoscopic sphincterotomy in complicated hepatic hydatid disease

Rodriguez, A; Río, Antonio L. Sánchez del; Alguacil, Luisa Vignote; Vega, Juan Francisco; Fugarolas, G Miño

doi:10.1016/s0016-5107(98)70041-0

Cited by 59 publications

(33 citation statements)

References 16 publications

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“…Recently, endoscopic methods such as ES and nasobiliary drainage (NBD) and the insertion of an endoprothesis have been used as an alternative to surgery [4,15,20]. Discussion of the superiority of these new techniques is ongoing in the literature.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic sphincterotomy in the management of postoperative biliary fistula

Dolay

Akçakaya

Soybir³

et al. 2002

Surg Endosc

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Section: Discussionmentioning

confidence: 99%

Endoscopic sphincterotomy in the management of postoperative biliary fistula

Dolay

Akçakaya

Soybir³

et al. 2002

Surg Endosc

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“…12,13,17,18 In hydatidosis, ES is preferable because of the frequent occurrence of papillary stenosis or associated difficulties with drainage of bile; it is also better tolerated by patients. 19 Data from several series indicate that the time frame for closure of external fistulas ranges from 3 to 43 days after ES. 20,21 In the present series, all patients with persistent external drainage were treated successfully with ES, and the fistulas closed within 10-20 days.…”

Section: 13mentioning

confidence: 99%

Treatment of hepatic hydatid disease complications using endoscopic retrograde cholangiopancreatography procedures

Akaydın

Erözgen

Ersoy

et al. 2012

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Background: Liver hydatidosis may lead to serious morbidity due to biliary complications, the management for which endoscopic sphincterotomy (ES) and biliary drainage are very efficient. We evaluated the effectiveness of endoscopic treatment for complications of hepatic hydatid disease. Methods:We retrospectively reviewed endoscopic retrograde cholangiopancreatography (ERCP) procedures performed between January 2000 and December 2009 and compared laboratory findings, localization of the lesions and ERCP procedures applied between patients with and without jaundice. Results:In all, 70 ERCP procedures were performed in 54 patients (24 men, 30 wo men). Of the 70 procedures, 24 were performed to treat jaundice. All patients with biliary fistulas and jaundice were managed with endoscopic procedures. The 70 ERCP procedures included sphincterotomy only (n = 40); sphincterotomy and stent placement (n = 7); stent placement only (n = 4); sphincterotomy and membrane extraction (n = 9); sphincterotomy, membrane extraction and pus drainage (n = 5); and sphincterotomy and pus drainage (n = 5). Laboratory results improved in 3-7 days, and bile leakage ceased in 2-21 days. Conclusion:Endoscopic retrograde cholangiopancreatography is a safe and effective way to manage biliary complications of hepatic echinococcal disease. In most patients, ES is the most efficient treatment of postoperative external biliary fistulas, jaundice and accompanying cholangitis, as it enables clearing the bile ducts of hydatid remnants; ES should be performed since it accelerates the healing process by decreasing pressure in the choledochus.

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“…Furthermore, recent studies emphasize the advantages of an endoscopic approach. [13][14][15] In this study, we aimed to present a retrospective evaluation of patients we treated for hydatid liver cysts with spontaneous intrabiliary rupture over a 20-year period, and discuss the advantages and disadvantages of the various treatment procedures.…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of Spontaneous Intrabiliary Rupture of Hydatid Liver Cysts

et al. 2002

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Purpose. The most common complication of hydatid liver cysts is spontaneous rupture into the biliary tract. This study was conducted to evaluate the surgical management of spontaneous intrabiliary rupture of a hydatid liver cyst in 41 patients. Methods. The preoperative diagnosis was confirmed by ultrasound in all 41 patients, 37 of whom were jaundiced. Results. According to Gharbi's classification, 39% of the cysts were type III and they ranged from 3 to 18 cm in diameter, with a mean diameter of 9 cm. The mean total bilirubin and alkaline phosphatase values were 6.3 mg/dl and 450 IU, respectively. Partial cystectomy, cholecystectomy, and common bile duct exploration were performed in all patients. In seven patients, the visible biliary duct within the cyst cavity was sutured with 2/0 silk. Intraoperative cholangiography was performed in all patients, and choledochoscopy was performed in 11 patients. A T-tube was inserted after the biliary tract content was thought to have been totally cleaned out in 38 patients (93%), and a choledochoduodenostomy was performed in 3 patients (7%). An external biliary fistula developed in five patients, persisting for 11-25 days. The fistulae healed within a mean period of 5 days after endoscopic sphincterotomy (EST). For patients without a fistula the mean hospitalization time was 8 days and there was no mortality. Conclusion. These results suggest that when a hydatid liver cyst ruptures into the biliary tract, common bile duct exploration should be conducted using intraoperative cholangiography and choledochoscopy. If the biliary tract is cleaned of all cystic content, T-tube drainage should be sufficient, but EST is an effective technique for treating persistent extended external biliary fistulae.

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Effectiveness of endoscopic sphincterotomy in complicated hepatic hydatid disease

Cited by 59 publications

References 16 publications

Endoscopic sphincterotomy in the management of postoperative biliary fistula

Endoscopic sphincterotomy in the management of postoperative biliary fistula

Treatment of hepatic hydatid disease complications using endoscopic retrograde cholangiopancreatography procedures

Surgical Management of Spontaneous Intrabiliary Rupture of Hydatid Liver Cysts

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