Ascariasis surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Ascariasis is usually managed conservatively with medical therapy but surgery may be indicated when medical management fails or complications arise. | |||
==Surgery== | ==Surgery== | ||
Some of the indications for the surgical management of ascariasis include:<ref name="Principles and Practice">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.</ref> | Some of the indications for the surgical management of ascariasis include:<ref name="Principles and Practice">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.</ref> | ||
Revision as of 20:04, 6 March 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Fatimo Biobaku M.B.B.S [2]
Overview
Ascariasis is usually managed conservatively with medical therapy but surgery may be indicated when medical management fails or complications arise.
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
Hepatobiliary ascariasis
The surgical management for hepatobiliary infestation with ascaris include:[2]
- Endoscopic management: This entails endoscopic extraction of the worm
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- Laparoscopic management: This often entails laparoscopic cholecystectomy, common bile duct exploration with parasite extraction, and T-tube placement.
Intestinal obstruction due to ascariasis
Intestinal obstruction from ascariasis can be surgically managed via the following methods:[3][1]
- External "milking" of the obstructing bolus of worms from the ileum into the colon
- Enterotomy to manually extract the worms
- Intestinal resection and end-to-end anastomosis if necessary
References
- ↑ 1.0 1.1 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.
- ↑ Villamizar E, Méndez M, Bonilla E, Varon H, de Onatra S (1996). "Ascaris lumbricoides infestation as a cause of intestinal obstruction in children: experience with 87 cases". J Pediatr Surg. 31 (1): 201–4, discussion 204-5. PMID 8632280.