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[Ascaris-induced acute pancreatitis].
N D Chinh1, N T Long, T T Bach
1Centre hospitalo-universitaire Viet-Duc, 40, Trang-Thi, Hanoi, Vietnam.
Annales De Chirurgie
|March 31, 2004
Summary
Ascaris-induced acute pancreatitis in Vietnam can be effectively treated with endoscopy in most cases. Surgery is reserved for endoscopic treatment failures or complicated cases, ensuring patient recovery.
Area of Science:
- Gastroenterology
- Surgical Treatment
- Parasitic Infections
Background:
- Ascariasis is a common parasitic infection that can lead to serious complications.
- Ascaris-induced acute pancreatitis presents a significant clinical challenge, particularly in endemic regions.
Purpose of the Study:
- To evaluate endoscopic and surgical treatment options for acute pancreatitis caused by Ascaris lumbricoides in Vietnam.
- To determine the efficacy and indications for different treatment modalities.
Main Methods:
- A retrospective study of 33 patients diagnosed with acute pancreatitis due to Ascaris.
- Diagnosis confirmed by elevated amylase, clinical presentation, and imaging (ultrasonography, endoscopy).
- Treatment included endoscopic removal of worms and surgical interventions.
Main Results:
- Endoscopic treatment successfully removed Ascaris in 24 out of 33 patients.
- Surgery was performed in 9 patients for endoscopic failures or associated conditions like choledocholithiasis and necrosis.
- All patients recovered, with shorter hospital stays for endoscopic treatment compared to surgery.
Conclusions:
- Endoscopic removal of Ascaris is a primary and effective treatment for associated acute pancreatitis.
- Surgical intervention is necessary for cases refractory to endoscopy or with complications such as common bile duct stones or pancreatic necrosis.