Abstract
Presentation and management of 204 patients with biliary ascariasis seen over a period of 5 years is reported from a highly endemic area of Kashmir. Ultrasonography is the single most useful means of diagnosis. Endoscopic retrograde cholangiopancreatography is extremely helpful. Most patients respond to conservative management and around one-fifth of all patients require surgery.
Résumé
On a observé 204 cas d'ascaris des voies biliaires pendant une période de cinq ans dans une zone d'endémie en Kahmire. L'échographie constititue le moyen diagnostique le plus utile. La cholangiopancréaticographie rétrograde endoscopique est également précieuse. Dans la plupart des cas, un traitement conservateur a pu être mené à bien, et seulemnt un cinquième des patients ont eu besoin d'un geste chirurgical.
Resumen
Se informa la presentación y el manejo de 204 casos de ascaridiasis biliar observados en un período de 5 años en el área altamente endémica de Kashmir, India. La ultrasonografía constituye el examen de mayor utilización para el diagnóstico. La colangiopancreatografía endoscópica retrógrada es de gran utilidad. La mayoría de los casos responden al manejo conservador y alrededor de una quinta parte de los pacientes requieren cirugía.
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Wani, N.A., Chrungoo, R.K. Biliary ascariasis: Surgical aspects. World J. Surg. 16, 976–979 (1992). https://doi.org/10.1007/BF02067009
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DOI: https://doi.org/10.1007/BF02067009