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
Kaynakça
- 1. A. Beltsis, G. Chatzimavroudis, A. Iliadis, et al. Intrabiliary rupture of hepatic hydatid cyst presenting as acute pancreatitis and treatment with endoscopic sphincterotomy: report of two cases.Ann Gastroenterol 2005,;18:353-356 2. Katsinelos P, Chatzimavroudis G, Fasoulas K, et al. Acute pancreatitis caused by impaction of hydatid membranes in the papilla of Vater: a case report. Cases J 2009, 2:7374 3. Macris GJ, Galanis NN. Rupture of the echinococcus cyst of the liver into the biliary ducts. Am Surg 1966; 32:36-44 4. Sherlock S, Dooley J. Diseases of the liver and biliary system.11th Ed. Oxford: Black well Scientific Publicatins; 2002: 511-516. 5. Pavlidis TE, Katsinelos PT, Tsiaousis PZ, et al. Intrabiliary Rupture of a Large Liver Echinococcal Cyst in an Adolescent Managed with Endoscopic Sphincterotomy and Albendazole. J. Laparoendosc. Adv. Surg. Tech. A, 2006; 16: 493–496 6. Dolay K, Akbulut S. Role of endoscopic retrograde cholangio pancreatography in the management of hepatic hydatid disease. World J Gastroenterol 2014 ; 20(41): 15253-15261. 7. Bayhan Z, Yılmaz S, Tiryaki Ç, et al. Acute Pancreatitis Due To Rupture Of The Hydatid Cyst IntoThe Biliary Tract: A Case Report. NJMR, 2014: 2249- 4995
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
- 1. A. Beltsis, G. Chatzimavroudis, A. Iliadis, et al. Intrabiliary rupture of hepatic hydatid cyst presenting as acute pancreatitis and treatment with endoscopic sphincterotomy: report of two cases.Ann Gastroenterol 2005,;18:353-356 2. Katsinelos P, Chatzimavroudis G, Fasoulas K, et al. Acute pancreatitis caused by impaction of hydatid membranes in the papilla of Vater: a case report. Cases J 2009, 2:7374 3. Macris GJ, Galanis NN. Rupture of the echinococcus cyst of the liver into the biliary ducts. Am Surg 1966; 32:36-44 4. Sherlock S, Dooley J. Diseases of the liver and biliary system.11th Ed. Oxford: Black well Scientific Publicatins; 2002: 511-516. 5. Pavlidis TE, Katsinelos PT, Tsiaousis PZ, et al. Intrabiliary Rupture of a Large Liver Echinococcal Cyst in an Adolescent Managed with Endoscopic Sphincterotomy and Albendazole. J. Laparoendosc. Adv. Surg. Tech. A, 2006; 16: 493–496 6. Dolay K, Akbulut S. Role of endoscopic retrograde cholangio pancreatography in the management of hepatic hydatid disease. World J Gastroenterol 2014 ; 20(41): 15253-15261. 7. Bayhan Z, Yılmaz S, Tiryaki Ç, et al. Acute Pancreatitis Due To Rupture Of The Hydatid Cyst IntoThe Biliary Tract: A Case Report. NJMR, 2014: 2249- 4995
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Ağustos 2017 |
| Yayımlandığı Sayı | Yıl 2017 Cilt: 25 Sayı: 2 |