Ascariasis surgery
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Ascariasis Microchapters |
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Ascariasis surgery On the Web |
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American Roentgen Ray Society Images of Ascariasis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Fatimo Biobaku M.B.B.S [2]
Overview
Surgery
Some of the indications for the surgical management of ascariasis include:[1]
- Complete intestinal obstruction with inadequate decompression
- Lack of response within 24-48 hrs of medical management of obstruction
- Complications such as volvulus, intussusception or intestinal perforation
- Acute appendicitis
- Worms trapped in ducts
- Liver invasion by worms
Surgical therapy
Surgical approach for hepatobiliary infestation with ascaris often entails:[2]
- Endoscopic approach: Endoscopic extraction of the worm
- Laparoscopic approach: Laparoscopic approach often entails laparoscopic cholecystectomy, common bile duct exploration with parasite extraction, and T-tube placement.
References
- ↑ Durand, Marlene (2015). "Chapter 288:Intestinal Nematodes (Roundworms)". Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases Updated Edition, Eighth Edition. Elsevier. pp. 3199–3207. ISBN 978-1-4557-4801-3.
- ↑ Astudillo JA, Sporn E, Serrano B, Astudillo R (2008). "Ascariasis in the hepatobiliary system: laparoscopic management". J Am Coll Surg. 207 (4): 527–32. doi:10.1016/j.jamcollsurg.2008.05.020. PMID 18926454.