Khuroo M S, Zargar S A, Yattoo G N, Javid G, Dar M Y, Boda M I, Khan B A
Department of Gastroenterology, Institute of Medical Sciences, Srinagar, Kashmir, India.
Gastrointest Endosc. 1993 Sep-Oct;39(5):680-5. doi: 10.1016/s0016-5107(93)70222-9.
From December 1989 to March 1992, 50 (32%) of 156 patients with hepatobiliary and pancreatic ascariasis underwent various endoscopic interventional procedures. Endoscopic intervention was performed when patients did not respond to energetic symptomatic treatment within the first few days of hospitalization (n = 45) or when worms had not moved out of the ducts into the duodenum at 3 weeks (n = 5). Worm extraction was successful in all 18 patients from the ampullary orifice and in 34 (89.5%) of 38 patients from the bile or pancreatic duct. In five patients with pyogenic cholangitis, endoscopic nasobiliary drainage was performed to decompress the bile ducts. After worm extraction/nasobiliary drainage, 41 (91%) of the 45 patients with biliary disease (n = 42) or acute pancreatitis (n = 3) had rapid relief of symptoms. Three patients developed complications related to endoscopy, including cholangitis (n = 2) and hypotension (n = 1).
1989年12月至1992年3月，156例肝胆胰蛔虫病患者中有50例（32%）接受了各种内镜介入治疗。当患者在住院最初几天对积极的对症治疗无反应时（n = 45），或在3周时蛔虫未从胆管进入十二指肠时（n = 5），则进行内镜干预。从壶腹开口处取出蛔虫的18例患者全部成功，从胆管或胰管取出蛔虫的38例患者中有34例（89.5%）成功。5例化脓性胆管炎患者进行了内镜鼻胆管引流以减压胆管。在取出蛔虫/鼻胆管引流后，45例患有胆道疾病（n = 42）或急性胰腺炎（n = 3）的患者中有41例（91%）症状迅速缓解。3例患者出现了与内镜检查相关的并发症，包括胆管炎（n = 2）和低血压（n = 1）。
