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Related Experiment Videos

Biliary ascariasis: surgical aspects.

N A Wani1, R K Chrungoo

  • 1Department of Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar-Kashmir, India.

World Journal of Surgery
|September 1, 1992
PubMed
Summary
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Biliary ascariasis, a common issue in Kashmir, is diagnosed effectively with ultrasonography. While most patients benefit from conservative treatment, some require surgical intervention.

Area of Science:

  • Hepatology
  • Gastroenterology
  • Infectious Diseases

Background:

  • Biliary ascariasis is a significant health concern in endemic regions.
  • Ascariasis infection of the biliary system presents unique diagnostic and management challenges.

Purpose of the Study:

  • To report the presentation and management of biliary ascariasis.
  • To evaluate diagnostic modalities and treatment outcomes in a large patient cohort.

Main Methods:

  • Retrospective analysis of 204 patients diagnosed with biliary ascariasis over five years.
  • Utilized ultrasonography and endoscopic retrograde cholangiopancreatography (ERCP) for diagnosis.
  • Assessed outcomes of conservative and surgical management strategies.

Main Results:

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  • Ultrasonography proved to be the most effective diagnostic tool.
  • Endoscopic retrograde cholangiopancreatography provided valuable diagnostic information.
  • The majority of patients (approximately 80%) responded well to conservative management.
  • Approximately one-fifth of patients necessitated surgical intervention.

Conclusions:

  • Ultrasonography is the primary diagnostic modality for biliary ascariasis.
  • Conservative management is successful for most patients.
  • Surgery remains an important option for refractory cases of biliary ascariasis.