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Cholangiohydatidosis: An infrequent cause of obstructive jaundice and acute cholangitis

dc.contributor.authorManterola C.
dc.contributor.authorOtzen T.
dc.date.accessioned2020-09-02T22:22:30Z
dc.date.available2020-09-02T22:22:30Z
dc.date.issued2017
dc.identifier10.5604/16652681.1235487
dc.identifier.citation16, 3, 436-441
dc.identifier.issn16652681
dc.identifier.urihttps://hdl.handle.net/20.500.12728/5259
dc.descriptionBackground. One of the evolutionary complications of hepatic echinococcosis (HE) is cholangiohydatidosis, a rare cause of obstructive jaundice and cholangitis. The aim of this study was to describe the results of surgical treatment on a group of patients with cholangiohydatidosis and secondary cholangitis in terms of post-operative morbidity (POM). Material and method. Case series of patients operated on for cholangiohydatidosis and cholangitis in the Department at Surgery of the Universidad de La Frontera and the Clínica Mayor in Temuco, Chile between 2004 and 2014. The minimum follow-up time was six months. The principal outcome variable was the development of POM. Other variables of interest were age, sex, cyst diameter, hematocrit, leukocytes, total bilirubin, alkaline phosphatase and transaminases, type of surgery, existence of concomitant evolutionary complications in the cyst, length of hospital stay, need for surgical re-intervention and mortality. Descriptive statistics were calculated. Results. A total of 20 patients were studied characterized by a median age of 53 years, 50.0% female and 20.0% having two or more cysts with a mean diameter of 13.3 ± 6.3 cm. A median hospital stay of six days and follow-up of 34 months was recorded. POM was 30.0%, re-intervention rate was 10.0% and mortality rate was 5.0%. Conclusion. Cholangiohydatidosis is a rare cause of obstructive jaundice and cholangitis associated with significant rates of POM and mortality. © 2017, Fundacion Clinica Medica Sur. All Rights Reserved.
dc.language.isoen
dc.publisherFundacion Clinica Medica Sur
dc.subjectEchinococcosis
dc.subjectEchinococcosis
dc.subjectEchinococcosis [MeSH]
dc.subjectHepatic hydatid cyst
dc.subjectHepatic [Mesh]
dc.subjectHepatic/complications [MeSH]
dc.subjectHydatidosis [Multi]
dc.subjectalkaline phosphatase
dc.subjectaminotransferase
dc.subjectbilirubin
dc.subjectadult
dc.subjectage
dc.subjectaged
dc.subjectalkaline phosphatase blood level
dc.subjectaminotransferase blood level
dc.subjectArticle
dc.subjectbiliary tract infection
dc.subjectbiliary tract surgery
dc.subjectbilirubin blood level
dc.subjectcase study
dc.subjectChile
dc.subjectcholangiohydatidosis
dc.subjectcholangitis
dc.subjectcholecystectomy
dc.subjectclinical article
dc.subjectcontrolled study
dc.subjectechinococcosis
dc.subjectEchinococcus granulosus
dc.subjectfemale
dc.subjectfollow up
dc.subjecthematocrit
dc.subjecthuman
dc.subjectlength of stay
dc.subjectleukocyte count
dc.subjectliver resection
dc.subjectmale
dc.subjectmiddle aged
dc.subjectmorbidity
dc.subjectmortality
dc.subjectobstructive jaundice
dc.subjectpostoperative period
dc.subjectreoperation
dc.subjectsex
dc.subjectsplenectomy
dc.subjectsurgical technique
dc.subjecttreatment outcome
dc.subjectadolescent
dc.subjectcholangitis
dc.subjectdiagnostic imaging
dc.subjectEchinococcosis, Hepatic
dc.subjectJaundice, Obstructive
dc.subjectparasitology
dc.subjectPostoperative Complications
dc.subjectrisk factor
dc.subjecttime factor
dc.subjectuniversity hospital
dc.subjectx-ray computed tomography
dc.subjectyoung adult
dc.subjectAcademic Medical Centers
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectChile
dc.subjectCholangitis
dc.subjectEchinococcosis, Hepatic
dc.subjectFemale
dc.subjectHumans
dc.subjectJaundice, Obstructive
dc.subjectLength of Stay
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPostoperative Complications
dc.subjectReoperation
dc.subjectRisk Factors
dc.subjectTime Factors
dc.subjectTomography, X-Ray Computed
dc.subjectTreatment Outcome
dc.subjectYoung Adult
dc.titleCholangiohydatidosis: An infrequent cause of obstructive jaundice and acute cholangitis
dc.typeArticle


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