Endoscopic Management of Biliary Parasitic Diseases

Bektaş, Mehmet; Dökmeci, Abdülkadir; Çınar, Kubilay; Halici, Imge; Öztaş, Erkin; Karayalçın, Selim; İdilman, Ramazan; Sarioglu, Mustafa; Üstün, Yusuf; Nazlıgül, Yaşar; Örmeci, Necati; Özkan, Hasan; Bozkaya, Hakan; Yurdaydın, Cihan

doi:10.1007/s10620-009-0850-0

Cited by 44 publications

(33 citation statements)

References 32 publications

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“…We found that biliary decompression via ERCP with ultrasound guided tubal drainage of any collection present is the most effective strategy in the management of post-operative biliary leakage compared to conservative treatment or ultrasound guided tubal drainage alone (p<0.001). Several studies have emphasized the importance of ERCP in the management of post-operative biliary fistula, especially when the fistula output is more than 300 ml/day or the duration of the fistula is more than 3 weeks (2,20,31,32). However, in our study, early management by ERCP led to earlier resolution of the bile leakage and a shorter hospital stay (9±2.6 days).…”

Section: Discussioncontrasting

confidence: 52%

Cystobiliary communication in hepatic hydatid cyst: predictors and outcome

Nakeeb

Salem²,

Sorogy³

et al. 2017

Turk J Gastroenterol

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Section: Discussioncontrasting

confidence: 52%

Cystobiliary communication in hepatic hydatid cyst: predictors and outcome

Nakeeb

Salem²,

Sorogy³

et al. 2017

Turk J Gastroenterol

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“…Extraction of the parasite is mostly achieved using a balloon catheter. [2,5,7,8] However, the slippery and gel-like structure of the parasite may cause difficulty in extracting the parasites via a balloon catheter, as observed in two of our cases. For such patients, a basket catheter in a semi-opened position can be used for the extraction of the parasites.…”

Section: Discussionmentioning

confidence: 68%

Endoscopic diagnosis and treatment of biliary obstruction due to acute cholangitis and acute pancreatitis secondary to Fasciola hepatica

Dolay

Hasbahçeci²,

Hatipoğlu³

et al. 2017

Ulus Travma Acil Cerrahi Derg

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In the differential diagnosis of biliary obstruction with unknown etiology, biliary fascioliasis should be considered in endemic and nonendemic regions. After diagnostic evaluation, endoscopic retrograde cholangiopancreatography (ERCP) was performed for etiological evaluation and/or treatment of biliary obstruction in five patients with a mean age of 55.8 years. Endoscopic sphincterotomy and cholangiogram revealed linear filling defects in the biliary system. Fasciola hepatica parasites were extracted using balloon and basket catheters in two and three patients, respectively. No morbidity or mortality was observed. F. hepatica infection should be considered as a differential diagnosis of biliary obstruction with unknown etiology in endemic and non-endemic regions. ERCP can be the standard diagnostic and/or therapeutic procedure in cases of biliary obstruction due to fascioliasis. Due to slippery and gel-like characteristics of the parasite, use of a basket catheter in semi-opened position may be required in case of unsuccessful extraction using a balloon catheter.

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“…In patients admitted in the biliary phase, abdominal pain, pain in the upper right quadrant, biliary colic, jaundice associated with the obstruction of bile ducts by the adult parasite, and inflammatory response were the most common complaints [18]. In this phase, serum ALP, GGT, and total bilirubin values were elevated, consistent with cholestasis [19]. In patients admitted in the biliary phase, complaint of pain in the form of colic (especially localized on the right side), and ALP, GGT, and bilirubin elevation were detected; these findings supported cholestasis.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of patients diagnosed with fascioliasis: A six-year experience at a university hospital in Turkey

Boşnak

Karaoğlan

Şahin

et al. 2016

J Infect Dev Ctries

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Introduction: In this study, clinical, laboratory, radiological, and serological examinations of fascioliasis patients were analyzed, and data with a significant impact on differential diagnosis were evaluated. Methodology: Clinical, radiological, and laboratory findings and treatment responses of a total of 22 fascioliasis patients, treated between October 2009 and September 2014, were evaluated. Nineteen patients were diagnosed with fascioliasis at the invasive phase and three patients at the chronic phase. Patients were followed up for clinical, laboratory, and radiology findings for a period of three months to one year after treatment. Results: The most frequent complaints in both groups were abdominal pain, and the most common physical examination finding was epigastric tenderness. In the performed examination, an eosinophil elevation in whole blood count was detected in 19 patients (100%) in the hepatic phase, and in 2 patients (66.6%) in the biliary phase. The results of the Fasciola hepatica indirect hemagglutination assay (IHA) test ordered in the diagnosis were positive in all patients. Treatment with 10 mg/kg/day triclabendazole for two consecutive days was effective. Live parasites were extracted from patients in the biliary phase with endoscopic retrograde cholangiopancreatography. In the follow-ups, remission in IHA titer and clinical and radiological improvement was achieved in all patients. Conclusions: If hypereosinophilia is detected by peripheral smear in patients who are admitted with complaints such as abdominal pain, weakness, nausea, myalgia, and weight loss, radiological evaluation and serological tests should be performed and fascioliasis should be considered in the differential diagnosis.

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Endoscopic Management of Biliary Parasitic Diseases

Abstract: The ERCP procedure is very useful in the therapy of biliary parasitic infestations.

Cited by 44 publications

References 32 publications

Cystobiliary communication in hepatic hydatid cyst: predictors and outcome

Cystobiliary communication in hepatic hydatid cyst: predictors and outcome

Endoscopic diagnosis and treatment of biliary obstruction due to acute cholangitis and acute pancreatitis secondary to Fasciola hepatica

Evaluation of patients diagnosed with fascioliasis: A six-year experience at a university hospital in Turkey

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