J M Ramia1, J Figueras, R De la Plaza, J García-Parreño. 1. Hepato-Bilio-Pancreatic Surgical Unit, Department of Surgery, Guadalajara University Hospital, Guadalajara, Spain. jose_ramia@hotmail.com
Abstract
BACKGROUND: Liver hydatidosis is a severe health problem in endemic areas. Due to migration from these countries to other zones, now it is a worldwide problem. Liver hydatidosis can provoke many complications (abscess, fistula to adjacent organs, migration, etc.), but the most frequent and one of the most severe complication is the communication between the cyst and the biliary tree. AIM: The aim of this study is to perform a review on the epidemiology, clinical features, diagnostic methods, and therapeutic options to treat the communication between the cyst and the biliary tree. RESULTS: Due to the lack of randomized clinical trial or meta-analysis on this topic, we performed a classical review and included our personal algorithm. CONCLUSIONS: The communication between the cyst and the biliary tree varies from a small communication to a frank intrabiliary rupture. The percentage of patients with the communication between the cyst and the biliary tree is not well known because there is no accepted definition. The therapeutic options are multiple and related to the size of the communication, the location of the cyst, and the experience of the hepatobiliary surgeon. ERCP is now an important tool for the treatment of the communication between the cyst and the biliary tree.
BACKGROUND:Liver hydatidosis is a severe health problem in endemic areas. Due to migration from these countries to other zones, now it is a worldwide problem. Liver hydatidosis can provoke many complications (abscess, fistula to adjacent organs, migration, etc.), but the most frequent and one of the most severe complication is the communication between the cyst and the biliary tree. AIM: The aim of this study is to perform a review on the epidemiology, clinical features, diagnostic methods, and therapeutic options to treat the communication between the cyst and the biliary tree. RESULTS: Due to the lack of randomized clinical trial or meta-analysis on this topic, we performed a classical review and included our personal algorithm. CONCLUSIONS: The communication between the cyst and the biliary tree varies from a small communication to a frank intrabiliary rupture. The percentage of patients with the communication between the cyst and the biliary tree is not well known because there is no accepted definition. The therapeutic options are multiple and related to the size of the communication, the location of the cyst, and the experience of the hepatobiliary surgeon. ERCP is now an important tool for the treatment of the communication between the cyst and the biliary tree.
Authors: Michael C Safioleas; Evangelos P Misiakos; Maria Kouvaraki; Michael K Stamatakos; Christine P Manti; Evangelos S Felekouras Journal: Arch Surg Date: 2006-11
Authors: A N Rodriguez; A L Sánchez del Río; L V Alguacil; J F De Dios Vega; G M Fugarolas Journal: Gastrointest Endosc Date: 1998-12 Impact factor: 9.427
Authors: William H Kitchens; Charles Liu; Edward T Ryan; Carlos Fernandez-del Castillo Journal: J Gastrointest Surg Date: 2014-08-23 Impact factor: 3.452
Authors: J M Ramia; A Serrablo; R De la Plaza; J Esarte; L Gijón; L Sarria; J Figueras; J García-Parreño Journal: World J Surg Date: 2014-11 Impact factor: 3.352
Authors: A Krasniqi; B Bicaj; D Limani; M Maxhuni; A Rrusta; F Hoxha; A Hamza; V Zejnullahu; F Sada; S Hashani; R Musa; R Latifi Journal: ScientificWorldJournal Date: 2014-11-09