title: Endoscopic management of biliary parasitic diseases.
abstract: 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.
authors.affiliation: Department of Gastroenterology, Ankara University School of Medicine, Tip Fakultesi Hastanesi, Dikimevi, 06100 Ankara, Turkey. mbektas70@hotmail.com
authors.forename: Mehmet
authors.initials: M
authors.lastname: Bektaş
authors.forename: Abdulkadir
authors.initials: A
authors.lastname: Dökmeci
authors.forename: Kubilay
authors.initials: K
authors.lastname: Cinar
authors.forename: Imge
authors.initials: I
authors.lastname: Halici
authors.forename: Erkin
authors.initials: E
authors.lastname: Oztas
authors.forename: Selim
authors.initials: S
authors.lastname: Karayalcin
authors.forename: Ramazan
authors.initials: R
authors.lastname: Idilman
authors.forename: Mustafa
authors.initials: M
authors.lastname: Sarioglu
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Ustun
authors.forename: Yasar
authors.initials: Y
authors.lastname: Nazligul
authors.forename: Necati
authors.initials: N
authors.lastname: Ormeci
authors.forename: Hasan
authors.initials: H
authors.lastname: Ozkan
authors.forename: Hakan
authors.initials: H
authors.lastname: Bozkaya
authors.forename: Cihan
authors.initials: C
authors.lastname: Yurdaydin
mesh_terms: 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