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Biliary ascariasis complicating endoscopic sphincterotomy for choledocholithiasis in India
R Gupta1, D K Agarwal, G D Choudhuri
1Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Journal of Gastroenterology and Hepatology
|December 3, 1998
Summary
Biliary ascariasis, a parasitic infection, is a potential complication following endoscopic sphincterotomy for bile duct stones. This risk is particularly noted in regions like Kashmir, India.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Parasitology
Background:
- Endoscopic sphincterotomy is a primary treatment for choledocholithiasis (bile duct stones).
- Biliary ascariasis, caused by parasitic roundworms, is prevalent in specific global regions, notably Kashmir, India.
Purpose of the Study:
- To investigate the incidence and significance of biliary ascariasis as a complication of endoscopic sphincterotomy.
- To highlight the association between the procedure and parasitic infection in the biliary system.
Main Methods:
- Case series reporting five instances of biliary ascariasis.
- Analysis of patient history focusing on prior endoscopic sphincterotomy procedures for choledocholithiasis.
Main Results:
- Four out of five reported cases of biliary ascariasis occurred after endoscopic sphincterotomy.
- This suggests a notable link between the procedure and the parasitic infection.
Conclusions:
- Biliary ascariasis should be considered a potential complication following endoscopic sphincterotomy.
- The findings underscore the importance of awareness and diagnostic consideration for biliary ascariasis in post-procedure patients, especially in endemic areas.