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Endoscopic management of biliary hydatid disease
H Akkiz1, A Akinoglu, S Colakoglu
1Department of Gastroenterology, Cukurova University Medical Faculty, Balcali Hospital, Adana, Turkey.
Objective:
To determine the effect of endoscopic sphincterotomy in the management of biliary hydatid disease.
Design:
A case study between January 1992 and December 1994.
Setting:
A university-affiliated hospital in Adana, Turkey.
Patients:
Five patients with biliary hydatid disease, in which the cyst had ruptured into the biliary tree. The follow-up ranged from 3 to 12 months.
Interventions:
Endoscopic sphincterotomy.
Main Outcome Measures:
Morbidity, morality and recurrence of the disease.
Results:
All patients underwent successful endoscopic sphincterotomy, including removal of daughter cysts. During the follow-up period, ultrasonography and laboratory investigations showed complete cure in all patients. There were no complications due to endoscopic sphincterotomy.
Conclusion:
Endoscopic sphincterotomy is the treatment of choice for the management of hydatid cysts that have ruptured into the biliary tract causing obstructive jaundice.