Treatment of Hepatic Hydatid Disease: Role of Surgery, ERCP, and Percutaneous Drainage: A Retrospective Study

Basit Öğe Kaydı
dc.contributor.authorMuhammedoglu, Bahtiyar
dc.contributor.authorPircanoglu, Eyup Mehmet
dc.contributor.authorPiskin, Erol
dc.contributor.authorTorun, Serkan
dc.contributor.authorKaradag, Mehmet
dc.contributor.authorTopuz, Sezgin
dc.contributor.authorKoktas, Suleyman
dc.date.accessioned2021-12-01T18:50:58Z
dc.date.available2021-12-01T18:50:58Z
dc.date.issued2021
dc.department[Belirlenecek]en_US
dc.description.abstractIntroduction: Failure to follow the World Health Organization's Informal Working Group on Echinococcosis guidance or having limited experience in the management of cystic echinococcosis (CE) in endemic or nonendemic areas of the world may lead to risky unnecessary procedures. Materials and Methods: Medical records of all patients undergoing surgery for hepatic hydatid disease at the gastroenterologic surgery and general surgery departments of our hospital between December 2014 and October 2019 were collected and reviewed retrospectively. Demographic characteristics, the size and number of the cysts preoperative liver function tests, surgical treatment, endoscopic retrograde cholangiopancreatography (ERCP), percutaneous drainage (PD), morbidity, and treatment outcomes were reviewed. Results: Of 122 patients included in the study, 77 (63, 1%) were female and 45 (36, 9%) were male individuals and their mean age was 44.95 years. CE1 was identified in 13 patients (10.6%) CE2 in 66 patients (54.1%), CE3a in 7 patients (5.8%), CE3b in 28 patients (22.9%), and CE4 in 8 patients (6.6%). Twenty patients (16.4%) with a cystobiliary fistula in the liver, obstructive jaundice, and postoperative bile leak underwent ERCP. PD was performed in patients with fluid in the hepatic hydatid cyst pouch, increased pouch size because of bile collection, and clinical symptoms postoperatively. Patients presenting with persistent bile leak despite PD underwent ERCP and were treated with endoscopic sphincterotomy and stent placement. Patients with PD were followed by keeping the percutaneous drain open and closed for a while to create pressure difference in the cyst pouch after ERCP. The percutaneous drain was removed in the next 14 to 21 days after checking the pouch size, whereas the common bile duct stents were removed 2 months later after performing a follow-up cholangiography. Conclusions: ERCP should be the primary method for the diagnosis and treatment for hepatic hydatid cysts ruptured into the ducts. In some cases, high-flow hydatid cysts with rupture into the bile ducts or persistent biliary fistulas can be treated with ERCP and endoscopic sphincterotomy, biliary stent, PD, and nasobiliary drainage without the need for surgical intervention.en_US
dc.identifier.doi10.1097/SLE.0000000000000861
dc.identifier.endpage320en_US
dc.identifier.issn1530-4515
dc.identifier.issn1534-4908
dc.identifier.issue3en_US
dc.identifier.pmid32956333en_US
dc.identifier.scopus2-s2.0-85093947608en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage313en_US
dc.identifier.urihttps://doi.org/10.1097/SLE.0000000000000861
dc.identifier.urihttps://hdl.handle.net/20.500.12684/10950
dc.identifier.volume31en_US
dc.identifier.wosWOS:000656195200007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofSurgical Laparoscopy Endoscopy & Percutaneous Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjecthydatid cysten_US
dc.subjectechinococcosisen_US
dc.subjectbiliary fistulaen_US
dc.subjectpercutaneous drainageen_US
dc.subjectEndoscopic Retrograde Cholangiopancreatographyen_US
dc.subjectSurgical-Treatmenten_US
dc.subjectManagementen_US
dc.subjectCysten_US
dc.subjectComplicationsen_US
dc.titleTreatment of Hepatic Hydatid Disease: Role of Surgery, ERCP, and Percutaneous Drainage: A Retrospective Studyen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu