Endoscopic management of biliary parasitic diseases.
AIM/MATERIALS AND METHODS: Between January 2000 and June 2007, 3,548 endoscopic retrograde cholangiopancreatography (ERCP) were performed for extrahepatic cholestasis, cholangitis, and choledocholithiasis. The results of ERCPs were evaluated retrospectively and examined carefully to investigate the management and endoscopic therapy of biliary parasites.


RESULTS
Of the 3,548 patients who underwent ERCP, 24 (0.66%) were found to have biliary parasitosis. The mean age of the biliary parasitosis patients (16 women) was 48.6 (15-77) years. Of these 24 cases, 16 patients had hydatid cystic disease (eight with partial obstruction of the biliary tract, and eight with ruptured cysts), four patients had Fasciola hepatica, and four patients had Ascaris lumbricoides infestation. Endoscopic sphincterotomy was performed, after which the choledochus was examined carefully by balloon catheter and basket procedure.


CONCLUSIONS
The ERCP procedure is very useful in the therapy of biliary parasitic infestations.
Bektaş
Mehmet
M
Department of Gastroenterology, Ankara University School of Medicine, Tip Fakultesi Hastanesi, Dikimevi, 06100 Ankara, Turkey. mbektas70@hotmail.com
Dökmeci
Abdulkadir
A
Cinar
Kubilay
K
Halici
Imge
I
Oztas
Erkin
E
Karayalcin
Selim
S
Idilman
Ramazan
R
Sarioglu
Mustafa
M
Ustun
Yusuf
Y
Nazligul
Yasar
Y
Ormeci
Necati
N
Ozkan
Hasan
H
Bozkaya
Hakan
H
Yurdaydin
Cihan
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D001196:Ascariasis / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D002761:Cholangitis / Q000469:parasitology* / Q000601:surgery*; D042883:Choledocholithiasis / Q000469:parasitology* / Q000601:surgery*; D002779:Cholestasis / Q000469:parasitology* / Q000601:surgery*; D004443:Echinococcosis / Q000601:surgery*; D005211:Fascioliasis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome