Manterola C, Otzen T

Language: English
References: 35
Page: 436-441
PDF size: 278.98 Kb.

ABSTRACT

Background. One of the evolutionary complications of hepatic echinococcosis (HE) is cholangiohydatidosis, a rare cause of obstructive jaundice and cholangitis. The aim of this study was to describe the results of surgical treatment on a group of patients with cholangiohydatidosis and secondary cholangitis in terms of post-operative morbidity (POM). Material and method. Case series of patients operated on for cholangiohydatidosis and cholangitis in the Department at Surgery of the Universidad de La Frontera and the Clínica Mayor in Temuco, Chile between 2004 and 2014. The minimum follow-up time was six months. The principal outcome variable was the development of POM. Other variables of interest were age, sex, cyst diameter, hematocrit, leukocytes, total bilirubin, alkaline phosphatase and transaminases, type of surgery, existence of concomitant evolutionary complications in the cyst, length of hospital stay, need for surgical re-intervention and mortality. Descriptive statistics were calculated. Results. A total of 20 patients were studied characterized by a median age of 53 years, 50.0% female and 20.0% having two or more cysts with a mean diameter of 13.3 ± 6.3 cm. A median hospital stay of six days and follow-up of 34 months was recorded. POM was 30.0%, re-intervention rate was 10.0% and mortality rate was 5.0%. Conclusion. Cholangiohydatidosis is a rare cause of obstructive jaundice and cholangitis associated with significant rates of POM and mortality.

REFERENCES

1. Tacyildiz I, Aldemir M, Aban N, Keles C. Diagnosis and surgical treatment of intrabiliary ruptured hydatid disease of the liver. S Afr J Surg 2004; 42: 43-6.

2. Agarwal S, Sikora SS, Kumar A, Saxena R, Kapoor VK. Bile leaks following surgery for hepatic hydatid disease. Indian J Gastroenterol 2005; 24: 55-8.

3. Manterola C, Losada H, Carrasco R, Muñoz S, Bustos L, Vial M, Innocenti G. Cholangiohydatidosis. An evolutive complication of hepatic hydatidosis. Bol Chil Parasitol 2001; 56: 10-5.

4. Manterola C, Urrutia S, MINCIR Group. Infected hepatic echinococcosis. Results of surgical treatment of a consecutive series of patients. Surg Infect (Larchmt) 2015; 16: 553-7.

5. Manterola C, Sanhueza A, Vial M, Moraga J. Liver abscess of hydatid origin as a risk factor for postoperative complications in hydatidosis. Rev Chil Cir 2009; 61: 333-8.

6. Atli M, Kama NA, Yuksek YN, Doganay M, Gozalan U, Kologlu M, Daglar G. Intrabiliary rupture of a hepatic hydatid cyst: associated clinical factors and proper management. Arch Surg 2001; 136: 1249-55.

7. Koksal N, Muftuoglu T, Gunerhan Y, Uzun MA, Kurt R. Management of intrabiliary ruptured hydatid disease of the liver. Hepatogastroenterology 2001; 48: 1094-6.

8. Kayaalp C, Bzeizi K, Demirbag AE, Akoglu M. Biliary complications after hydatid liver surgery: incidence and risk factors. J Gastrointest Surg 2002; 6: 706-12.

9. Hamamci EO, Besim H, Sonisik M, Korkmaz A. Occult intrabiliary rupture of hydatid cysts in the liver. World J Surg 2005; 29: 224-6.

10. Shemesh E, Klein E, Abramowich D, Pines A. Common bile duct obstruction caused by hydatid daughter cysts—management by endoscopic retrograde sphincterotomy. Am J Gastroenterol 1986; 8 1: 280-2.

11. Al Karawi MA, Yasawi MI, El-Shieck-Mohamed AR. Endoscopic management of biliary hydatid disease: Report of six cases. Endoscopy 1991; 23: 278-81.

12. Akkis H, Akinoglu A, Colakoglu S, Demiryurek H, Yagmur O. Endoscopic management of biliary hydatid disease. Can J Surg 1996; 39: 287-92.

13. Abo111u-Khalil S, Smith BM, MacLean JD, Poenaru D, Fried GM, Bret P. Acute cholecystitis and cholangitis caused by Echinoccocus granulosus. Am J Gastroenterol 1996;91:805-7.

14. Naranjo A, Sánchez del Río A, Vignote L, Vega JF, Mino G. Effectiveness of endoscopic sphincterotomy in complicated hepactic hydatid disease. Gastrointest Endosc 1998; 48: 593-7.

15. Saez-Royuela F, Yuguero L, López-Morante A, Pérez-Alvarez JC, Martín-Lorente JL, Ojeda C. Acute pancreatitis caused by hydatid membranes in the biliary tract: Treatment with endoscopic sphincterotomy. Gastrointest Endosc 1999; 49: 503-6.

16. Giordano G, lalongo P, Amoruso M, Rizzo MI, Di Venere B, Bonomo GM. Obstructive jaundice caused by hydatid cyst rupture in main bile duct. Ann Ital Chir 1999; 70: 763-6.

17. Elbir O, Gundogdu H, Caglikulekci M, Kayaalp C, Atalay F, Savkilioglu M, Seven C. Surgical treatment of intrabiliary rupture of hydatid cysts of liver: comparison of choledochoduodenostomy with T-tube drainage. Dig Surg 2001; 18: 289-93.

18. Busic Z, Amic E, Servis D, Predrijevac M, Stipancic I, Busic D. Common bile duct obstruction caused by the hydatid daughter cysts. Coll Antropol 2004; 28: 325-9

19. Spârchez Z, Osian G, Onica A, Bãrbânta C, Tanþau M, Pascu O. Ruptured hydatid cyst of the liver with biliary obstruction: presentation of a case and review of the literature. Rom J Gastroenterol 2004; 13: 245-50.

20. Sciumè C, Geraci G, Pisello F, Facella T, Vaglica R, Modica G. Acute pancreatitis during liver hydatidosis: treatment with ERCP and endoscopic sphincterotomy. Ann Ital Chir 2005; 76: 491-4.

21. Goumas K, Poulou A, Dandakis D, Tyrmpas I, Georgouli A, Sgourakis G, Soutos D, et al. Role of endoscopic intervention in biliary complications of hepatic hydatid cyst disease. Scand J Gastroenterol 2007; 42: 1113-9.

22. Alvizuri-Escobedo JM, Sánchez-Mercado M. Cholangiohydatidosis. Rev Soc Peru Med Interna 2011; 24: 149.

23. Trébol J, Sánchez R, Blanco CA, Rodríguez MB, Roldán M, Ozalla F, Francos CM. Quiste hidatídico hepático con migración de material hidatídico a la vía biliar principal, colangitis y pancreatitis aguda. Revista ACIRCAL 2013. Available in http://www.acircal.net/revista/articulo.php?id=17. Accessed June 15, 2015.

24. Manterola C, Astudillo P. Checklist for Reporting of Descriptive Observational Studies. MINCIR Initiative. Int J Morphol 2013; 31: 115-20.

25. Clavien PA, Barkun J, de Oliveira ML, Vauthey IN, Dindo D, Schulick RD, de Santibañes E, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg 2009; 250: 187-96.

26. Helsinki Statement of the World-wide Medical Association. Ethical principles for the medical researches in human beings. Amended by 52a General Assembly, Edinburgh, Scotland, October 2000.

27. Manterola C, Ávila N, Seco J, Ulloa P; MINCIR Group. Hepatothoracic transit, evolutionary complication oh hepatic echinococcosis. Rev Chil Cir 2009; 61: 345-9.

28. Kornaros SE, Aboul-Nour TA. Frank intrabiliary rupture of hydatid hepatic cyst: diagnosis and treatment. J Am Coll Surg 1996; 183: 466-70.

29. Becker K, Frieling T, Saleh A, Haussinger D. Resolution of hydatid liver cyst by spontaneous rupture into the biliary tract. J Hepatol 1997; 26: 1408-12.

30. Manterola C, Mansilla JA, Fonseca F. Preoperative albendazole and scolices viability in patients with hepatic echinococcosis. World J Surg 2005; 29: 750-3.

31. Dziri C, Haouet K, Fingerhut A. Treatment of hydatid cyst of the liver: where is the evidence? World J Surg 2004; 28: 731-6.

32. Stojkovic M, Zwahlen M, Teggi A, Vutova K, Cretu CM, Virdone R, Nicolaidou P, et al. Treatment Response of Cystic Echinococcosis to Benzimidazoles: A Systematic Review. PLoS Negl Trop Dis 2009; 3: e524.

33. Gomez I Gavara C, López-Andújar R, Belda Ibáñez T, Ramia Ángel JM, Moya Herraiz Á, Orbis Castellanos F, Pareja Ibars E, et al. Review of the treatment of liver hydatid cysts. World J Gastroenterol 2015; 21: 124-31.

34. Davis A, Dixon H, Pawlowski ZS. Multicentre clinical trials of benzimidazole-carbamates in human cystic echinococcosis (phase 2). Bull World Health Organ 1989; 67: 503-8.

35. Franchi C, Di Vico B, Teggi A. Long-term evaluation of patients with hydatidosis treated with benzimidazole carbamates. Clin Infect Dis 1999; 29: 304-9.