Application of ERCP in treatment for biliary complications of hepatic hydatid disease
10.3969/j.issn.1007-1989.2017.11.001
- VernacularTitle:内镜逆行胰胆管造影术在肝包虫病胆道并发症治疗中的应用
- Author:
Yue PING
1
;
Meng WEN-BO
;
Bai BING
;
Lin YAN-YAN
;
Zhang LEI
;
Zhou WEN-CE
;
Li XUN
Author Information
1. 兰州大学第一医院 特需外科
- Keywords:
hepatic hydatid disease;
biliary complications;
endoscopic retrograde cholangiopancreatography;
ERCP
- From:
China Journal of Endoscopy
2017;23(11):1-4
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the role of endoscopic retrograde cholangiopancreatography (ERCP) in treatment for biliary complications of hepatic hydatid disease. Methods From October 2010 to October 2016 , 27 patients who were admitted for hepatic hydatid disease underwent therapeutic ERCP pre- or post-operation, then we retrospectively analyzed the clinical manifestations, laboratory tests, imaging examinations, ERCP methods and therapeutic effects in perioperative period of ERCP. Results All the 27 patients who underwent ERCP pre-or post-operations because of biliary complications of hepatic hydatid disease obtained good treatment effect. There were some reasons for ERCP, 12 cases for acute suppurative cholangitis and obstructive jaundice caused by intrabiliary rupture and 7 for severe jaundice compress by large hepatic hydatid cyst, whereas 6 cases for biliary fistula and 2 for biliary stricture after operation. 6 indexes including white blood cell count (WBC), aspertate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin (TBIL), alkaline phosphatase (ALP), gamma-glutamyl transferase (GGT) were significantly different between 24 hours pre- and 48 hours post- ERCP (P < 0.05), all the patients were improved after operation. Conclusion ERCP which is performed at pre- or post- operation may be an effective treatment for biliary complications of hepatic hydatid disease such as acute suppurative cholangitis, biliary fistula and stricture.
