Dr.Mohamed Al-Shekhani.
Dr.Taha Al-Karbuli.
Dr.Ali Hussein Ali.

ERCP In the management of intrabiliary rupture of liver h...
[IBRH] IS NOT A RARE COMPLICATION OF OF
HYDATID DISEASE OF THE LIVER.
SURGERY UNTIL RECENTLY WAS THE ONLY
DEFINITIVE TREAT...
3 types of communications:
Occult one when the endocyst or cyst
content remain within the pericyst
Communicating type wher...
OBJECTIVE:
TO EVALUATE ROLE OF ERCP IN THE
MANAGEMENT OF CASES OF IBRH.
STUDY OF 16 CASES OF IBRH
MANAGED BY ERCP.
SETTING:
THE ERCP UNIT OF KURDITAN CENTER
FOR GASTROENTEROLOGY &
HEPATOLOGY- ASULAIMANEYAH-IRAQI
KURDISTAN-IRAQ.
MAIN OUTC...
METHODS:
FROM 2007 -2010 :
16 CASES , AGES 10-79 YEARS.
PATIENTS WERE FOLLOWED UP CLINICALLY +
LAB INVESTIGATIONS , (US) ,...
METHODS:
ERCP INCLUDED CLEARANCE OF THE
RETAINED HYDATID MEMBRANES IN CBD
WITH ENDOSCOPIC SPHICTEROTOMY PLUS
PLASTIC STENT...
RESULTS:
MALES>FEMALES(58% VS 42%)
MOST WERE FROM 30-50 YEARS.
THE PRESENTATION WAS FEVER, JAUNDICE,
ITCHING & RIGHT HYPOC...
RESULTS:
THE ERCP MANAGEMENT LED TO
IMPROVEMENT IN CLINICAL, LABORATORY &
ULTRASONIC FINDINGS IN 8 PATIENTS & IN
THESE 8 P...
CONCLUSIONS:
ERCP IS AN IMPORTANT
MANAGEMENT STRATEGY FOR
PATIENTS WITH IBRH WHICH CAN
LEAD TO CLINICAL, LAB & ULTRASONIC
...
THANKS
What’s Your Message?
GIT ERCP in IBRH.
GIT ERCP in IBRH.
GIT ERCP in IBRH.
GIT ERCP in IBRH.
GIT ERCP in IBRH.
GIT ERCP in IBRH.
GIT ERCP in IBRH.
GIT ERCP in IBRH.
GIT ERCP in IBRH.
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GIT ERCP in IBRH.

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ERCP in Intr-abiliary rupture of liver hydatid cysts.

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  • GIT ERCP in IBRH.

    1. 1. Dr.Mohamed Al-Shekhani. Dr.Taha Al-Karbuli. Dr.Ali Hussein Ali. ERCP In the management of intrabiliary rupture of liver hydatid cysts.
    2. 2. [IBRH] IS NOT A RARE COMPLICATION OF OF HYDATID DISEASE OF THE LIVER. SURGERY UNTIL RECENTLY WAS THE ONLY DEFINITIVE TREATMENT . WITH THE INTRODUCTION OF ERCP PREOPERATIVELY OR POSTOPERATIVELY THERE WAS A GREAT REDUCTION IN THE OPERATIVE COMPLICATIONS. THERE ARE REPORTS IN WHICH THE ERCP WAS THE SOLE TREATMENT OF THIS CONDITION . THIS WAS THE MAIN AIM OF THE STUDY OF THESE SERIES OF CASES.
    3. 3. 3 types of communications: Occult one when the endocyst or cyst content remain within the pericyst Communicating type where the cystic content spill in to the small biliary canaliculi Frank rupture with the content of the cyst spilling to the biliary tract.
    4. 4. OBJECTIVE: TO EVALUATE ROLE OF ERCP IN THE MANAGEMENT OF CASES OF IBRH.
    5. 5. STUDY OF 16 CASES OF IBRH MANAGED BY ERCP.
    6. 6. SETTING: THE ERCP UNIT OF KURDITAN CENTER FOR GASTROENTEROLOGY & HEPATOLOGY- ASULAIMANEYAH-IRAQI KURDISTAN-IRAQ. MAIN OUTCOME MEASUREMENTS: IMPROVEMENT IN THE SYMPTOMS, OBSTRUCTIVE LIVER FUNCTIONS PATTERN & ULTRASONIC FINDINGS IN THESE PATIENTS FOLLOWING ERCP MANAGEMENT.
    7. 7. METHODS: FROM 2007 -2010 : 16 CASES , AGES 10-79 YEARS. PATIENTS WERE FOLLOWED UP CLINICALLY + LAB INVESTIGATIONS , (US) , (CT) OR MRI (WHEN AVAILABLE) , BEFORE AND AFTER ERCP, SOME PATIENTS WERE CONTACTED VIA MOBILE PHONE FOR FOLLOW-UP.
    8. 8. METHODS: ERCP INCLUDED CLEARANCE OF THE RETAINED HYDATID MEMBRANES IN CBD WITH ENDOSCOPIC SPHICTEROTOMY PLUS PLASTIC STENT INSERTION TO FACILITATE DRAINAGE OF REMAINING HYDATID CONTENTS, WHICH WAS REMOVED 3 MONTHS AFTER THE PROCEDURE.
    9. 9. RESULTS: MALES>FEMALES(58% VS 42%) MOST WERE FROM 30-50 YEARS. THE PRESENTATION WAS FEVER, JAUNDICE, ITCHING & RIGHT HYPOCHONDRIAL PAIN IN MOST PATIENTS. THE LIVER FUNCTION TESTS WERE OBSTRUCTIVE PATTERN WITH ELEVATED DIRECT BILIRUBIN & ALKHALINE PHOSPHATES IN MOST PATIENTS. THE TUS REVEALED DILATED COMMON BILE DUCT & SINGLE LIVER CYST IN MOST PATIENTS & 2 OR 3 CYSTS IN OTHERS.
    10. 10. RESULTS: THE ERCP MANAGEMENT LED TO IMPROVEMENT IN CLINICAL, LABORATORY & ULTRASONIC FINDINGS IN 8 PATIENTS & IN THESE 8 PATIENTS ERCP WAS THE ONLY PROCEDURE NEEDED PROVED BY FOLLOWUP OF THESE PATIENTS FOR 1 YEAR IN 6 PATIENTS & 2 YEARS IN THE OTHER 2 PATIENTS & SURGERY WAS NEEDED IN 7 CASES & ONE PATIENT DIED BECAUSE OF SEPSIS.
    11. 11. CONCLUSIONS: ERCP IS AN IMPORTANT MANAGEMENT STRATEGY FOR PATIENTS WITH IBRH WHICH CAN LEAD TO CLINICAL, LAB & ULTRASONIC IMPROVEMENTS & CAN BE THE ONLY REQUIRED PROCEDURE IN AROUND 50% OF CASES
    12. 12. THANKS What’s Your Message?

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