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Related Experiment Videos

Ascaris-induced acute pancreatitis.

M S Khuroo1, S A Zargar, G N Yattoo

  • 1Department of Gastroenterology, Institute of Medical Sciences, Kashmir, India.

The British Journal of Surgery
|December 1, 1992
PubMed
Summary

Ascariasis is a significant cause of acute pancreatitis in endemic regions like Kashmir. Prompt endoscopic intervention effectively removes worms, improving patient outcomes and reducing complications.

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Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Hepatology

Background:

  • Ascariasis is a common helminthic infection in endemic areas.
  • It can lead to biliary and pancreatic complications, including acute pancreatitis.
  • Understanding the clinical spectrum and outcomes is crucial for management.

Purpose of the Study:

  • To investigate the incidence, clinical presentation, and outcomes of acute pancreatitis caused by ascariasis.
  • To evaluate the role of endoscopic retrograde cholangiopancreatography (ERCP) in diagnosis and treatment.
  • To assess the effectiveness of endoscopic interventions in managing ascariasis-induced pancreatitis.

Main Methods:

  • Prospective study of 256 patients with acute pancreatitis in Kashmir, India.
  • Diagnosis of ascariasis as an etiological factor through clinical assessment and ERCP.

Related Experiment Videos

  • Endoscopic retrograde cholangiopancreatography (ERCP) for visualization and worm extraction.
  • Endoscopic nasobiliary drainage for pyogenic cholangitis.

    • Main Results:

    • Ascariasis was identified in 23% of acute pancreatitis cases (59/256 patients).
    • Worms invaded the bile duct (51), pancreatic duct (4), or both (4).
    • ERCP confirmed worms in the biliary tree and pancreatic duct, facilitating endoscopic removal in 33 patients, leading to symptom relief.
    • Endoscopic nasobiliary drainage was used in 8 patients with pyogenic cholangitis.
    • 56 patients recovered with conservative and endoscopic treatment; 3 required surgery.
    • Overall mortality was 3%; 10 patients experienced symptomatic worm reinvasion during follow-up.

    Conclusions:

    • Ascariasis is a frequent cause of acute pancreatitis in endemic areas.
    • ERCP is a valuable tool for diagnosing and treating worm-induced pancreatitis.
    • Endoscopic worm extraction offers rapid symptom relief and improves outcomes.
    • Symptomatic worm reinvasion necessitates ongoing monitoring and management strategies.