Endoscopic retrograde cholangiography and sphincterotomy for complicated hepatic hydatid cyst
| Autor: | R. Bory, Thierry Ponchon, A. Chavaillon |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
Cholangiopancreatography
Endoscopic Retrograde Male medicine.medical_specialty Echinococcosis Hepatic Endoscope medicine.diagnostic_test business.industry Gastroenterology Hydatid cyst medicine.disease Surgery Cholangiography Biliary tract parasitic diseases medicine Endoscopic retrograde cholangiography Secondary sclerosing cholangitis Humans In patient Female Sphincter of Oddi business Complication |
| Zdroj: | Endoscopy. 19(4) |
| ISSN: | 0013-726X |
| Popis: | We report on the results of 20 endoscopic cholangiographies indicated for hepatic hydatid disease: 14 for pre-operative investigation and 6 for post-surgical complications. In 4 out of 14 cases, endoscopic retrograde cholangiography (ERC) was not an effective procedure for the pre-operative diagnosis of complicated hepatic hydatid cyst in the biliary tract. Endoscopic sphincterotomy was performed without complications in 9 patients and permitted pre- or post-surgical removal of intrabiliary hydatid fragments in 6, successful treatments of 2 post-surgical external biliary fistulae and in association with transhepatic drainage, improvement of the clinical and biological course of one case of secondary sclerosing cholangitis. Endoscopic sphincterotomy might be indicated not only in the case of ERC diagnosis of complicated hepatic hydatic cyst, but also in the case of isolated cholangitis in patients with hepatic hydatid disease, and for complications of surgical treatment. |
| Databáze: | OpenAIRE |
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