title: [Endoscopic management of biliary and pancreatic ascariasis in Viet-Nam. Report of a series of 91 cases].
abstract: OBJECTIVE
  Ascariasis is the most widespread helminthiasis in the world. Biliary and pancreatic involvement, frequently encountered in endemic areas, is a serious public health problem. Surgical management is often required. The purpose of our work was to assess the feasibility of emergency endoscopic treatment of biliary and pancreatic ascariasis in the Viet Duc hospital (Hanoi, Vietnam), and to evaluate outcome.
  
  
  METHODS
  A prospective study conducted over a 3-year period included 91 patients with biliary and pancreatic ascariasis. Diagnosis was based on clinical findings and abdominal ultrasound and was confirmed by endoscopic procedures.
  
  
  RESULTS
  The 91 patients, 21 males and 70 females, mean age 41 +/- 17 years, underwent endoscopic procedures to retrieve the worm. The procedure was successful in 89 patients (97.8%). Mild pancreatitis occurred in four patients who underwent biliary sphincterotomy. The mean hospital stay was 3.1 days.
  
  
  CONCLUSIONS
  Endoscopic management of ascariasis is feasible, with a very low morbidity and a high rate of success. With this treatment, hospital stay is greatly shortened.
authors.affiliation: Service d'Hépato-Gastroentérologie, Hôpital Viet Duc, Hanoi, Viet-nam.
authors.forename: Mai Thi
authors.initials: MT
authors.lastname: Hoi
authors.forename: Ariadne
authors.initials: A
authors.lastname: Desjeux
authors.forename: Thon Tat
authors.initials: TT
authors.lastname: Bach
authors.forename: Marc
authors.initials: M
authors.lastname: Barthet
authors.forename: Jean-Charles
authors.initials: JC
authors.lastname: Grimaud
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001196:Ascariasis / Q000601:surgery*; D001660:Biliary Tract Diseases / Q000601:surgery*; D002648:Child; D003627:Data Interpretation, Statistical; D004630:Emergencies; D004724:Endoscopy; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000601:surgery*; D011247:Pregnancy; D015597:Pregnancy Complications, Parasitic / Q000601:surgery*; D013997:Time Factors; D014744:Vietnam