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KMID : 0371319740160040005
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Journal of the Korean Surgical Society
1974 Volume.16 No. 4 p.5 ~ p.13
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Clinical Study on Clonorchiasis of Hepatobiliary Tract
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Abstract
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A study on clonorchiasis of the hepatobiliary tract revealed the following conclusions:
I. During the periodl of .2 years and 6 months from January 1970 to June 1972. Surgical. intervention on. the hepatobiliary tract was performed on 699 cases at the Busan Gospel Hospital. of these 699 cases, 65 cases (9.3%) were associated with clonorchis sinensis infestation.
2. Significant laboratory findings on the cases of´hepatobiliary clonorchiasis were eosinophilia 3. Histopathologic features of the liver associated with clonorchiasis varied in degree on individual cases. The main features were eosinophil infiltrates of the portal tracts, the presence of the ova in the bile ducts and´ chronic inflammation. Along with adenomatous hyperplasia of the ductul_ar .epithelium and periductal fibrosis, the flank malignant changes of the ductal epithelial cells were -observed in a`few cases. The presence of the ova infestation could give rise to the ductal epithelial hyperplasia leading finally to cholangiocellular carcinomas in the Korean.
4. To evacuate the worms from the intrahepatic biliary tract, the manual milking ;toward the center from the peripheries of the liver obtained anexcellent result.
5. The surgical management of the clonorchiasis of the biliary tract was an internal drainage. procedure, which consisted of ´the prevention of extracorporal excessive loss of the bile and parenteral supply of fluid and electrolytes.
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