Sylvain Ambregna1, Stéphane Koch1, Michael C Sulz2, Beate Grüner3, Sümeyra Öztürk3, Jean-Baptiste Chevaux4, Małgorzata Sulima5, Andrea de Gottardi6, Bertrand Napoléon7, Armand Abergel8, Philippe Bichard9, Isabelle Boytchev10, Pierre Deprez11, Jerome Dumortier12, Jean-Louis Frossard13, Eric Kull14, Bernard Meny15, Darius Moradpour16, Fréderic Prat17, Geoffroy Vanbiervliet18, Thierry Thevenot1, Dominique Angèle Vuitton1, Solange Bresson-Hadni1, Lucine Vuitton1. 1. a WHO Collaborating Centre for the Prevention and Treatment of Human Echinococcosis; Centre National de Référence pour l'Echinococcose alvéolaire; & Department of Gastroenterology, Digestive Endoscopy and Nutrition , University of Franche-Comté and University Hospital , Besançon , France. 2. b Division of Gastroenterology and Hepatology , Kantonsspital , St. Gall , Switzerland. 3. c University Hospital , Ulm , Germany. 4. d Hepatogastroenterology department, University Hospital , Nancy , France. 5. e Institute of Maritime and Tropical Medicine in Gdynia , Medical University of Gdynia , Poland. 6. f Department of Hepatology , University Hospital , Bern , Switzerland. 7. g Gastroenterology department, Mermoz Private Hospital , Générale de Santé , Lyon , France. 8. h Gastroenterology and Hepatology department , University Hospital , Clermont-Ferrand , France. 9. i Gastroenterology and Hepatology department , University Hospital , Grenoble , France. 10. j Gastroenterology department , Kremlin-Bicêtre University Hospital , Paris , France. 11. k Gastroenterology department , Saint-Luc University Hospital , Brussels , Belgium. 12. l Department of digestive diseases , Edouard Herriot University Hospital , Lyon , France. 13. m Hepato-Pancreato-Biliary Centre , University Hospital , Geneva , Switzerland. 14. n Gastroenterology and Hepatology department , Regional Hospital , Metz , France. 15. o Gastroenterology unit , Clinique Drevon , Dijon , France. 16. p Gastroenterology and Hepatology department , University Hospital , Lausanne , Switzerland. 17. q Gastroenterology department , Cochin University Hospital , Paris , France. 18. r Gastroenterology department , University Hospital , Nice , France.
Abstract
BACKGROUND: Biliary complications represent a turning point in the course of Alveolar Echinococcosis (AE). We conducted a European survey to collect data on the current usage and results of perendoscopic interventions (PEIs) for their treatment. METHODS: Patient's characteristics and follow-up until January 31st, 2015 were recorded using an online questionnaire. RESULTS: From 18 centers 129 PEIs were analyzed in 38 patients; 139 plastic stents were inserted during 85 PEIs; median time between stent placements was significantly longer when 3 stents or more were placed. Initial symptoms disappeared in 95% and long-term bile duct patency was obtained in 73% of cases. Cholangitis was a more frequent complication of the PEIs (10%) than in other indications; intensive lavage of the bile ducts may prevent this complication. CONCLUSION: European centers use perendoscopic biliary drainage as an efficient and safe alternative to surgery to treat AE biliary complications. Insertion of multiple plastic stents delays stent occlusion and leads to effective and prolonged bile duct patency.
BACKGROUND: Biliary complications represent a turning point in the course of Alveolar Echinococcosis (AE). We conducted a European survey to collect data on the current usage and results of perendoscopic interventions (PEIs) for their treatment. METHODS:Patient's characteristics and follow-up until January 31st, 2015 were recorded using an online questionnaire. RESULTS: From 18 centers 129 PEIs were analyzed in 38 patients; 139 plastic stents were inserted during 85 PEIs; median time between stent placements was significantly longer when 3 stents or more were placed. Initial symptoms disappeared in 95% and long-term bile duct patency was obtained in 73% of cases. Cholangitis was a more frequent complication of the PEIs (10%) than in other indications; intensive lavage of the bile ducts may prevent this complication. CONCLUSION: European centers use perendoscopic biliary drainage as an efficient and safe alternative to surgery to treat AE biliary complications. Insertion of multiple plastic stents delays stent occlusion and leads to effective and prolonged bile duct patency.
Authors: Dominique A Vuitton; Donald P McManus; Michael T Rogan; Thomas Romig; Bruno Gottstein; Ariel Naidich; Tuerhongjiang Tuxun; Hao Wen; Antonio Menezes da Silva Journal: Parasite Date: 2020-06-03 Impact factor: 3.000
Authors: Balázs Dezsényi; Zsolt Dubóczki; Tamás Strausz; Eszter Csulak; Veronika Czoma; Zsolt Káposztás; Mária Fehérvári; Áron Somorácz; András Csilek; Attila Oláh; Kálmán Almási; Attila Patonai; Dénes Görög; Zoltán Széll; Zoltán Tolnai; Tamás Sréter; József Danka; Herbert Auer; Beate Grüner; Thomas F E Barth; Adriano Casulli Journal: BMC Infect Dis Date: 2021-02-10 Impact factor: 3.090