Iscan M, Düren M
Department of Gastroenterology, German Hospital, Istanbul, Turkey.
Endoscopy. 1991 Sep;23(5):282-3. doi: 10.1055/s-2007-1010687.
The results obtained using endoscopic sphincterotomy (EST) in the management of postoperative biliary complications of hepatic hydatid disease are presented. The outcome was favourable in all eight patients treated with no associated morbidity or mortality. In three patients the clinical manifestations of cholangitis resolved, and in five of six patients the external bile fistula previously present for 26 to 68 days closed within 3 to 15 days. In one patient with a long-standing fistula (5 years) the bile outflow was reduced from 600cc to 50-100cc per day. No complications due to EST were encountered. The results show that EST can be considered the treatment of choice for biliary fistulae following surgery for hepatic hydatid disease and for drainage of bile in patients with cholangitis due to hydatid disease.
本文介绍了使用内镜括约肌切开术（EST）治疗肝包虫病术后胆道并发症的结果。所有接受治疗的8例患者预后良好，无相关发病率或死亡率。3例患者胆管炎的临床表现得到缓解，6例患者中有5例先前存在26至68天的外胆瘘在3至15天内闭合。1例有长期瘘管（5年）的患者胆汁流出量从每天600cc减少至50 - 100cc。未遇到因EST引起的并发症。结果表明，EST可被视为肝包虫病手术后胆瘘以及因包虫病引起胆管炎患者胆汁引流的首选治疗方法。
