Endoscopic management of biliary parasitic diseases

Bektaş M., Dökmeci A., ÇINAR K., Halici I., Oztas E., Karayalcin S., ...More

Digestive Diseases and Sciences, vol.55, no.5, pp.1472-1478, 2010 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 55 Issue: 5
  • Publication Date: 2010
  • Doi Number: 10.1007/s10620-009-0850-0
  • Journal Name: Digestive Diseases and Sciences
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1472-1478
  • Keywords: Biliary parasitic disease, Cholanitis, Choledocholithiasis, ERCP, Extrahepatic cholestasis
  • Ankara University Affiliated: Yes

Abstract

Aim/Materials and Methods Between January 2000 and June 2007, 3,548 endoscopic retrograde cholangiopancreatography (ERCP) were performed for extrahepaticcholestasis, cholangitis, and choledocholithiasis. Theresults of ERCPs were evaluated retrospectively andexamined carefully to investigate the management andendoscopic therapy of biliary parasites. Results Of the3,548 patients who underwent ERCP, 24 (0.66%) werefound to have biliary parasitosis. The mean age of thebiliary parasitosis patients (16 women) was 48.6 (15-77) years. Of these 24 cases, 16 patients had hydatid cystic disease (eight with partial obstruction of the biliary tract, and eight with ruptured cysts), four patients had Fasciolahepatica, and four patients had Ascaris lumbricoides infestation. Endoscopic sphincterotomy was performed, after which the choledochus was examined carefully byballoon catheter and basket procedure. Conclusion TheERCP procedure is very useful in the therapy of biliaryparasitic infestations. © Springer Science+Business Media, LLC 2009.