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Treatment of hepatic hydatid disease complications using endoscopic retrograde cholangiopancreatography procedures

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dc.contributor.authorAkaydin, M
dc.contributor.authorErozgen, F
dc.contributor.authorErsoy, YELİZ EMİNE
dc.contributor.authorBirol, S
dc.contributor.authorKaplan, R
dc.contributor.institutionauthorERSOY, YELIZ EMINE
dc.date.accessioned2020-01-25T20:59:26Z
dc.date.available2020-01-25T20:59:26Z
dc.date.issued2012-08-01T00:00:00Z
dc.description.abstractBackground: 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 women). 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.
dc.identifier.citationAkaydin M., Erozgen F., Ersoy Y. E. , Birol S., Kaplan R., -Treatment of hepatic hydatid disease complications using endoscopic retrograde cholangiopancreatography procedures.-, Canadian journal of surgery. Journal canadien de chirurgie, cilt.55, ss.244-8, 2012
dc.identifier.doi10.1503/cjs.036010
dc.identifier.pubmed
dc.identifier.scopus84865228127
dc.identifier.urihttps://openaccess.bezmialem.edu.tr/handle/20.500.12645/13502
dc.identifier.urihttp://canjsurg.ca/vol55-issue4/55-4-244/
dc.identifier.wosWOS:000307810400006
dc.subjecthepatic hydatid
dc.titleTreatment of hepatic hydatid disease complications using endoscopic retrograde cholangiopancreatography procedures
dc.typeArticle
dspace.entity.typePublication
local.avesis.id10b7fc2f-384f-495e-9367-276f05c2162b
local.publication.isinternational1
relation.isAuthorOfPublication29a098c6-acc4-4e05-af39-eeffbc7be778
relation.isAuthorOfPublication.latestForDiscovery29a098c6-acc4-4e05-af39-eeffbc7be778
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