Endoscopy 2019; 51(04): S233-S234
DOI: 10.1055/s-0039-1681870
ESGE Days 2019 ePosters
Friday, April 5, 2019 09:00 – 17:00: ERCP ePosters
Georg Thieme Verlag KG Stuttgart · New York

PLACE OF ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY IN THE MANAGEMENT OF ECHINOCCOCAL CYSTS COMMUNICATING WITH BILE DUCTS: A SINGLE CENTER EXPERIENCE

H Boutallaka
1   Rabat, Mohamed V Military Teaching Hospital of Rabat, Rabat, Morocco
,
H Seddik
1   Rabat, Mohamed V Military Teaching Hospital of Rabat, Rabat, Morocco
,
S Mrabti
1   Rabat, Mohamed V Military Teaching Hospital of Rabat, Rabat, Morocco
,
A Sair
1   Rabat, Mohamed V Military Teaching Hospital of Rabat, Rabat, Morocco
,
I El Koti
1   Rabat, Mohamed V Military Teaching Hospital of Rabat, Rabat, Morocco
,
S Sentissi
1   Rabat, Mohamed V Military Teaching Hospital of Rabat, Rabat, Morocco
,
A Benkirane
1   Rabat, Mohamed V Military Teaching Hospital of Rabat, Rabat, Morocco
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

 

Aims:

The aim of our study is to specify the efficacy of ERCP in the management of hydatid cysts communicating with bile ducts.

Methods:

This is a retrospective study, conducted from january 2002 to september 2018 in the gastroenterology II department of the military teaching hospital of Rabat, including all patients followed for a liver hydatid cyst communicating with bile ducts. ERCP and endoscopic biliary sphincterotomy were performed before surgery in 20 patients, and in postoperative for 22 patients.

Results:

Among ERCP performed in our department in the period of the study, 2,4% (n = 42) was for a liver hydatid cyst communicating with bile ducts.

The mean age was 47 years old, with a higher prevalence in male (65%). The persistent external biliary fistula in postoperative were complicating the hydatid cyst communicating with bile ducts in 34%. All our patients underwent an endoscopic biliary sphincterotomy allowing the clearing of the bile duct from hydatid material using balloon or dormia basket. The follow up was marked by the disappearance of jaundice in 5 to 12 days on average after ERCP and resolve of the biliar fistula in 10 to 12 days. The global success which was defined by the definitive clearance of the common bile duct was obtained in 100% of our patients.

Conclusions:

Our study confirm the efficacy and safety of ERCP and biliary endoscopic sphincterotomy in the management of echinococcal cysts communicating with bile ducts. It leads to decrease duration of hospital stay and to avoid a heavy surgery.