Akut pankreatit ile başvuran karaciğer hidatik kistinin endoskopik kist evakuasyonu ile tedavisi

Öz

Hidatik kistin safra yollarına rüptüre olması sık görülen bir komplikasyondur (%5-25). İntrabiliyer rüptüre bağlı oluşan komplikasyonlardan biri de akut pankreatittir. Karaciğer kist hidatiğinin tedavisinde ideal yaklaşım tartışmalıdır. Tedavide cerrahi yöntemler, perkütan aspirasyon, enjeksiyon ve reaspirasyon metodu ve endoskopik yöntemlerle tedaviler (sfinkterotomi, nazobiliyer drenaj kateteri yerleştirilmesi, stent yerleştirilmesi, kist evakuasyonu) kullanılabilir. Uygun hastalarda safra yollarına rüptüre olmuş hidatik kistin tedavisinde endoskopik kist evakuasyonu tek başına güvenli ve etkin bir tedavi metodudur.

Anahtar Kelimeler

• Endoskopik kist evakuasyonu,endoskopik retrograd kolanjiyopankreatografi

Endoscopic cyst evacuation as a treatment for liver hydatic cysts in patients who present with acute pancreatitis

Öz

Rupture of hydatic cysts into the biliary system is a common complication with 5%-25% frequency. Rupture into the biliary system can cause acute pancreatitis. The ideal treatment modality of liver hydatic cysts is controversial; however, surgery and endoscopic methods such as sphincterotomy, stent insertion, and cyst evacuation are well-known treatment options. In appropriate patients, endoscopic cyst evacuation is a safe and effective endoscopic treatment modality.

Anahtar Kelimeler

• Endoscopic cyst evacuation,endoscopic retrograde cholangiopancreatography

Kaynakça

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