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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

PINTO, Pedro; GAETE, Sergio  y  VEGA, Patricia. Endoscopic colangiopancreatography utility in the diagnosis and management of biliary complications of hepatic hydatid disease. Rev Chil Cir [online]. 2016, vol.68, n.4, pp.283-288. ISSN 0718-4026.  http://dx.doi.org/10.1016/j.rchic.2016.01.003.

Aim To report the experience with endoscopic colangiopancreatography (ERCP) in the pre and postoperative management of complicated liver hydatidosis. Material and methods Case series retrospective of 14 patients who underwent ERCP in the Department of Surgery and Endoscopy Regional Hospital of Coyhaique, from January 2005 to December 2014. In this presentation, patients are separated in whom ERCP was used as diagnosis of those in which was used as handling external biliary fistula. Patients after discharge were monitored per month, 3, 6 months later to realize it annually Results Five patients consulting for jaundice and pain were subjected to ERCP in the preoperative period. Hydatid membranes were found and extracted in all. A sphincterotomy was performed in all and an endoprosthesis was placed in one. Four patients were operated posteriorly and only one did not require surgery. On 9 patients with an external biliary fistula draining more than 200 ml/day, a postoperative ERCP was carried out. The mean sized of the cyst was 12 cm and two thirds were multi-vesicular. The surgical procedure was a partial cystectomy and in four it was laparoscopic. The mean output of fistulae was 498 ml/day. The ERCP was carried out in the twentieth postoperative day, performing a sphincterotomy and placing an endoprosthesis in all. Fistulae closed at 28 days. Patients were followed for six years and none died. Conclusions ERCP is safe and useful for the diagnosis and management of biliary complications of liver hydatidosis.

Palabras clave : Liver hydatidosis; Complications; Biliary fistula; Endoscopic colangiopancreatography.

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