Endoscopic sphincterotomy in the treatment of postoperative biliary fistulas of hepatic hydatid disease

Tekant, Yaman; Bilge, Orhan; Acarlı, Koray; Alper, Aydın; Emre, Ali; Arıoğul, Orhan

doi:10.1007/bf00188481

Cited by 46 publications

(26 citation statements)

References 14 publications

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“…Reducing the pressure in the biliary tree by endoscopic sphincterotomy resolves the problem of persistent biliary leakage. 17 Biliary leakage spontaneously ceased in our patients and endoscopic sphincterotomy was not required.…”

Section: Discussionmentioning

confidence: 59%

The management of hepatic hydatid cysts: Review of 94 cases

Erdem

Neşşar

Sungurtekin

et al. 1998

Journal of Hepato-Biliary-Pancreatic Surgery

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In this retrospective study, 94 patients operated for hepatic hydatid cysts were reviewed to compared the advantages and disadvantages of different operative techniques. The patients were divided into four groups according to the type of operation. Group I consisted of 33 patients with peripherally located small cysts, eligible for excision, who underwent cystectomy. Group II consisted of 28 patients with cysts smaller than 5 cm, not suitable for complete removal, who underwent partial cystectomy with capitonnage. Group III were 21 patients with cysts larger than or equal to 5 cm, not suitable for complete removal, who underwent partial cystectomy with omentoplasty. Infection and biliary communication were not seen in groups II and III. Group IV were 12 patients with infected cyst or intrabiliary rupture who underwent partial cystectomy with external drainage. In group IV, hospital stay was longer than in the other groups (P < 0.05). Group I had the shortest hospital stay (P < 0.05). Group IV had the highest morbidity and recurrence rates (P < 0.05). We concluded that cystectomy is the technique of choice in selected patients, as it is associated with low morbidity, low recurrence rates, and short hospital stay. Omentoplasty is preferred if cystectomy is not feasible. If there is biliary contamination and infection, external drainage, rather than omentoplasty, should be performed.

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Section: Discussionmentioning

confidence: 59%

The management of hepatic hydatid cysts: Review of 94 cases

Erdem

Neşşar

Sungurtekin

et al. 1998

Journal of Hepato-Biliary-Pancreatic Surgery

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show abstract

“…[16,17] Although "nonradiation ERCP" in pregnant patients has been reported, [18,19] the experience is limited. Complete ductal clearance cannot be ascertained without a choledochoscopy, which may not be technically possible in every case.…”

Section: Discussionmentioning

confidence: 99%

“…Ortanca (sınırlar) hasta yaşı 27 (23-39) yıl, ortanca (sınır-lar) gestasyon yaşı 18 (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24) haftaydı. Semptomlar şid-detli karın ağrısı (4), kusma (2), sarılık (2), kaşıntı (2) ve ağır dispepsiydi (1); semptomsuz hastada (1), jinekolojik ultrasonografi sırasında rastlantısal olarak, kapalı intraperitoneal yırtılma gözlendi.…”

Section: Bulgularunclassified

Hepatic hydatid disease requiring urgent treatment during pregnancy

Erçetin¹,

Özden²,

Iyibozkurt³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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“…In patients presenting with obstructive jaundice or cholangitis, endoscopic biliary sphincterotomy facilitates extraction of the cysts and membranes using a basket or a biliary stone extraction balloon [51,52]. Saline irrigation of the bile duct is necessary to flush out the hydatid sand and small daughter cysts.…”

Section: Treatmentmentioning

confidence: 99%