title: A European survey of perendoscopic treatment of biliary complications in patients with alveolar echinococcosis.
abstract: Biliary complications represent a turning point in the course of Alveolar Echinococcosis (AE). We conducted a European survey to collect data on the current usage and results of perendoscopic interventions (PEIs) for their treatment.
  
  
  
  Patient's characteristics and follow-up until January 31st, 2015 were recorded using an online questionnaire.
  
  
  
  From 18 centers 129 PEIs were analyzed in 38 patients; 139 plastic stents were inserted during 85 PEIs; median time between stent placements was significantly longer when 3 stents or more were placed. Initial symptoms disappeared in 95% and long-term bile duct patency was obtained in 73% of cases. Cholangitis was a more frequent complication of the PEIs (10%) than in other indications; intensive lavage of the bile ducts may prevent this complication.
  
  
  
  European centers use perendoscopic biliary drainage as an efficient and safe alternative to surgery to treat AE biliary complications. Insertion of multiple plastic stents delays stent occlusion and leads to effective and prolonged bile duct patency.
authors: a WHO Collaborating Centre for the Prevention and Treatment of Human Echinococcosis; Centre National de Référence pour l'Echinococcose alvéolaire; & Department of Gastroenterology, Digestive Endoscopy and Nutrition , University of Franche-Comté and University Hospital , Besançon , France.
authors: Sylvain
authors: S
authors: Ambregna
authors: a WHO Collaborating Centre for the Prevention and Treatment of Human Echinococcosis; Centre National de Référence pour l'Echinococcose alvéolaire; & Department of Gastroenterology, Digestive Endoscopy and Nutrition , University of Franche-Comté and University Hospital , Besançon , France.
authors: Stéphane
authors: S
authors: Koch
authors: b Division of Gastroenterology and Hepatology , Kantonsspital , St. Gall , Switzerland.
authors: Michael C
authors: MC
authors: Sulz
authors: c University Hospital , Ulm , Germany.
authors: Beate
authors: B
authors: Grüner
authors: c University Hospital , Ulm , Germany.
authors: Sümeyra
authors: S
authors: Öztürk
authors: d Hepatogastroenterology department, University Hospital , Nancy , France.
authors: Jean-Baptiste
authors: JB
authors: Chevaux
authors: e Institute of Maritime and Tropical Medicine in Gdynia , Medical University of Gdynia , Poland.
authors: Małgorzata
authors: M
authors: Sulima
authors: f Department of Hepatology , University Hospital , Bern , Switzerland.
authors: Andrea
authors: A
authors: de Gottardi
authors: g Gastroenterology department, Mermoz Private Hospital , Générale de Santé , Lyon , France.
authors: Bertrand
authors: B
authors: Napoléon
authors: h Gastroenterology and Hepatology department , University Hospital , Clermont-Ferrand , France.
authors: Armand
authors: A
authors: Abergel
authors: i Gastroenterology and Hepatology department , University Hospital , Grenoble , France.
authors: Philippe
authors: P
authors: Bichard
authors: j Gastroenterology department , Kremlin-Bicêtre University Hospital , Paris , France.
authors: Isabelle
authors: I
authors: Boytchev
authors: k Gastroenterology department , Saint-Luc University Hospital , Brussels , Belgium.
authors: Pierre
authors: P
authors: Deprez
authors: l Department of digestive diseases , Edouard Herriot University Hospital , Lyon , France.
authors: Jerome
authors: J
authors: Dumortier
authors: m Hepato-Pancreato-Biliary Centre , University Hospital , Geneva , Switzerland.
authors: Jean-Louis
authors: JL
authors: Frossard
authors: n Gastroenterology and Hepatology department , Regional Hospital , Metz , France.
authors: Eric
authors: E
authors: Kull
authors: o Gastroenterology unit , Clinique Drevon , Dijon , France.
authors: Bernard
authors: B
authors: Meny
authors: p Gastroenterology and Hepatology department , University Hospital , Lausanne , Switzerland.
authors: Darius
authors: D
authors: Moradpour
authors: q Gastroenterology department , Cochin University Hospital , Paris , France.
authors: Fréderic
authors: F
authors: Prat
authors: r Gastroenterology department , University Hospital , Nice , France.
authors: Geoffroy
authors: G
authors: Vanbiervliet
authors: a WHO Collaborating Centre for the Prevention and Treatment of Human Echinococcosis; Centre National de Référence pour l'Echinococcose alvéolaire; & Department of Gastroenterology, Digestive Endoscopy and Nutrition , University of Franche-Comté and University Hospital , Besançon , France.
authors: Thierry
authors: T
authors: Thevenot
authors: a WHO Collaborating Centre for the Prevention and Treatment of Human Echinococcosis; Centre National de Référence pour l'Echinococcose alvéolaire; & Department of Gastroenterology, Digestive Endoscopy and Nutrition , University of Franche-Comté and University Hospital , Besançon , France.
authors: Dominique Angèle
authors: DA
authors: Vuitton
authors: a WHO Collaborating Centre for the Prevention and Treatment of Human Echinococcosis; Centre National de Référence pour l'Echinococcose alvéolaire; & Department of Gastroenterology, Digestive Endoscopy and Nutrition , University of Franche-Comté and University Hospital , Besançon , France.
authors: Solange
authors: S
authors: Bresson-Hadni
authors: a WHO Collaborating Centre for the Prevention and Treatment of Human Echinococcosis; Centre National de Référence pour l'Echinococcose alvéolaire; & Department of Gastroenterology, Digestive Endoscopy and Nutrition , University of Franche-Comté and University Hospital , Besançon , France.
authors: Lucine
authors: L
authors: Vuitton
mesh_terms: D001660:Biliary Tract Diseases / Q000209:etiology / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D004322:Drainage / Q000379:methods*; D004444:Echinococcosis, Hepatic / Q000150:complications* / Q000601:surgery*; D005060:Europe; D006801:Humans; D015337:Multicenter Studies as Topic; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Echinococcus multilocularis; Endoscopic retrograde cholangio-pancreatography (ERCP); alveolar echinococcosis (AE); biliary stent; biliary stricture; cholangitis