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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Nov 27, 2025; 17(11): 112025
Published online Nov 27, 2025. doi: 10.4240/wjgs.v17.i11.112025
Published online Nov 27, 2025. doi: 10.4240/wjgs.v17.i11.112025
Endoscopic retrograde cholangiopancreatography for the management of biliary fistula following liver hydatid cyst related surgery or radiological interventions
Mahmut Polat, Ersin Batıbay, Osman Yüksekyayla, Cumali Efe, Department of Gastroenterology, Harran University Faculty of Medicine, Şanlıurfa 63100, Türkiye
Fırat Erkmen, Department of General Surgery, Harran University Faculty of Medicine, Şanlıurfa 63100, Türkiye
Mehmet Emin Boleken, Department of Pediatric Surgery, Harran University Faculty of Medicine, Şanlıurfa 63100, Türkiye
Idris Kırhan, Department of Internal Medicine, Harran University Faculty of Medicine, Şanlıurfa 63100, Türkiye
Bilal Celik, Servet Sürmeli, Zahit Akkoyun, Ibrahim Atlas, Ahmet Atlas, Department of Anestesiology, Harran University Faculty of Medicine, Şanlıurfa 63100, Türkiye
Osman Dere, Veysel Kaya, Department of Radiology, Harran University Faculty of Medicine, Şanlıurfa 63100, Türkiye
Serkan Dumanlı, Kenan Moral, Murat Kekilli, Department of Gastroenterology and Hepatology, Gazi University, Ankara 06560, Türkiye
Cem Şimşek, Department of Gastroenterology, Hacettepe University Faculty of Medicine, Ankara 06100, Türkiye
Author contributions: Polat M, Batıbay E, Erkmen F, Yüksekyayla O, Emin Boleken M, Kırhan I, Celik B, Sürmeli S, Akkoyun Z, Atlas I, Atlas A, Dere O, Kaya V, Dumanlı S, Moral K, Şimşek C, Kekilli M and Efe C collected and analyzed data; Şimşek C, Kekilli M and Efe C interpreted data and prepared manuscript; all authors approved the final version of the manuscript.
Institutional review board statement: The Institutional Review Board of Harran University provided approval for this study (IRB No. HRU/21.08.22).
Informed consent statement: This is a retrospective study and no informed consent is required.
Conflict-of-interest statement: The authors declare no conflicts of interest.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Data sharing statement: All data that support the findings of this study are presented in the manuscript.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Cumali Efe, MD, Head Professor, Department of Gastroenterology, Harran University Faculty of Medicine, Gülveren mahallesi, Osmanbey Kmpüs, Küme evleri F blok No. 4, Şanlıurfa 06100, Türkiye. scumaliefe@gmail.com
Received: July 17, 2025
Revised: July 28, 2025
Accepted: September 26, 2025
Published online: November 27, 2025
Processing time: 132 Days and 18.4 Hours
Revised: July 28, 2025
Accepted: September 26, 2025
Published online: November 27, 2025
Processing time: 132 Days and 18.4 Hours
Core Tip
Core Tip: Liver is the most commonly affected organ of hydatid cyst involvement. Majority of patients with hepatic hydatid cysts (HHCs) are diagnosed incidentally or when HHCs-related complications occur. Rupture into intrahepatic bile ducts is the common and serious complication in individuals with HHCs. Surgery and percutaneous radiological methods [puncture, aspiration, injection, re-aspiration (PAIR)] are the current standard treatment strategies for patients with HHC. Biliary leak is a common complication in patients who underwent surgery or PAIR. We investigated efficacy and safety of ERCP in the management of biliary fistula following HHC-related surgery and PAIR.