Chapters authored
Utility of ERCP in the Diagnosis and Management of Biliary Complications of Hepatic Hydatid Disease
To report the experience with endoscopic retrograde cholangiopancreatography (ERCP) in the pre- and postoperative management of complicated liver hydatidosis. Case series retrospective of 14 patients who underwent ERCP in the Department of Surgery and Endoscopy Regional Hospital of Coyhaique, from January 2005 to December 2014. In this report, patients are separated into two groups: those in whom ERCP was used as diagnosis and those in which it was used for handling the external biliary fistula. Five patients consulting for jaundice and pain were subjected to ERCP in the preoperative period. Hydatid membranes were found and extracted in all. A sphincterotomy was performed in all, and an endoprosthesis was placed in one. Four patients were operated posteriorly, and only one did not require surgery. On nine patients with an external biliary fistula draining more than 200 ml/day, a postoperative ERCP was carried out. The surgical procedure was a partial cystectomy, and in four it was laparoscopic. The ERCP was carried out in the 20th postoperative day, performing a sphincterotomy and placing an endoprosthesis in all. Fistulae are closed at 28 days. Patients were followed up for 6 years and none died.
Part of the book: Overview on Echinococcosis