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Biliopancreatic ascariasis: endoscopic approach
Toshiaki Kamiya1, Mario Justiniano, Abel Durán
1Instituto de Gastroenterología, Clínica Kamiya, Christian University of Bolivia, School of Medicine, Santa Cruz.
Journal of Gastroenterology
|July 12, 2002
Summary
Endoscopic extraction is a safe and effective treatment for biliary ascariasis, with a high success rate and no significant complications observed. This minimally invasive approach is recommended for patients suffering from this parasitic infection.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Parasitology
Background:
- Biliary and pancreatic ascariasis present diagnostic challenges.
- Ascariasis can lead to significant gastrointestinal and hepatobiliary complications.
Purpose of the Study:
- To evaluate the efficacy and safety of endoscopic extraction for biliary ascariasis.
- To assess the success rate of endoscopic removal of Ascaris lumbricoides from the biliary tract.
Main Methods:
- A retrospective study of 120 patients diagnosed with biliary and pancreatic ascariasis between June 1985 and June 1999.
- Diagnostic procedures included panendoscopy, choledocoscopy, and endoscopic retrograde cholangiopancreatography (ERCP) under fluoroscopic guidance.
- Endoscopic extraction utilized basket catheters, polypectomy snares, and balloon catheters.
Main Results:
- Endoscopic extraction was successful in 99 out of 108 (92%) patients.
- Some patients had undergone previous endoscopic sphincterotomy.
- No significant complications were reported following the endoscopic treatment.
Conclusions:
- Endoscopic extraction is a highly effective and safe treatment modality for biliary ascariasis.
- The study recommends endoscopic extraction as the preferred method for managing biliary ascariasis due to its success rate and safety profile.