Tamzaourte M.,rue Oued El Makhazine no 7 |
Seddik H.,Service de Gastroenterologie 2 |
Rouibaa F.,Service de Gastroenterologie 1 |
Elkandry S.,Service de Chirurgie Viscerale 2 |
And 3 more authors.
Acta Endoscopica | Year: 2011
Objective: To evaluate the contribution of endoscopic retrograde cholangiopancreatography (ERCP) in diagnostic and especially therapeutic biliary complications of a liver hydatid cyst (LHC). Patients and Methods: We included 20 patients received for endoscopic management of biliary complications of LHC over 8 years. The mean age was 47 years with male predominance at 64%. Results: The prevalence of biliary complications of LHC is 3.4% in our series. ERCP allowed the objectifying of a kysto-biliary fistula in 43% of the cases, and incomplete images in the bile duct in 85.7% of the cases related to hydatid material. Endoscopic sphincterotomy was performed in all patients, allowing the extraction of hydatid material with cuff or basket extraction, and a bile duct dilatation by candle. The evolution was marked by the disappearance of jaundice after an average of 5 to 12 days after the endoscopic procedure and the depletion of the external biliary fistula after 10 to 12 days. Conclusion: The endoscopic treatment of biliary complications of a liver hydatid cyst is an effective method with acceptable mortality and morbidity. © 2011 Springer.