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©2006 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Aug 14, 2006; 12(30): 4930-4931
Published online Aug 14, 2006. doi: 10.3748/wjg.v12.i30.4930
Published online Aug 14, 2006. doi: 10.3748/wjg.v12.i30.4930
Therapeutic endoscopic retrograde cholangiopancreatography and related modalities have many roles in hepatobiliary hydatid disease
Ersan Özaslan, Department of Gastroenterology, Numune Education and Training Hospital, Ankara, Turkey
Author contributions: All authors contributed equally to the work.
Correspondence to: Ersan Özaslan, Associate Professor, İleri Mah. Mektep Sok. No: 7/10, Kurtuluş, 06660, Ankara, Turkey. er72@hotmail.com
Telephone: +90-312-4304454 Fax: +90-312-3125026
Received: April 21, 2006
Revised: May 11, 2006
Accepted: May 22, 2006
Published online: August 14, 2006
Revised: May 11, 2006
Accepted: May 22, 2006
Published online: August 14, 2006
Abstract
The authors report their experience about 8 cases of intrabiliary rupture of hepatobiliary hydatid disease, and add an algorithm for treatment. To our opinion, the use of diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP) in the management of hepatobiliary hydatid disease was not stated properly in their proposed algorithm. According to the algorithm, the use of ERCP and related modalities was only stated in the case of postoperative biliary fistulae. We think that postoperative persistant fistula is not a sole indication, there are many indications for ERCP and related techniques namely sphincterotomy, extraction, nasobiliary drainage and stenting, in the treatment algorithm before or after surgery.