Preoperative predictive factors of cystobiliary fistulas in liver hydatid cysts: results of a monocentric study
Introduction The evolution of hepatic hydatid cyst can be enameled with complications, mainly biliary fistula, which can be both symptomatic or occult. The aim of this study is to identify the predictive factors of occult cysto-biliary communication.Material and methods This is a retrospective study...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Future Science OA |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/20565623.2025.2458420 |
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| author | Mohamed Salah Jarrar Ines Karmani Mehdi Chahed Malek Barka Mohamed Hedi Mraidha Radhouane Toumi Ameni Beizig Khayri Dhouioui Sabri Youssef |
| author_facet | Mohamed Salah Jarrar Ines Karmani Mehdi Chahed Malek Barka Mohamed Hedi Mraidha Radhouane Toumi Ameni Beizig Khayri Dhouioui Sabri Youssef |
| author_sort | Mohamed Salah Jarrar |
| collection | DOAJ |
| description | Introduction The evolution of hepatic hydatid cyst can be enameled with complications, mainly biliary fistula, which can be both symptomatic or occult. The aim of this study is to identify the predictive factors of occult cysto-biliary communication.Material and methods This is a retrospective study of patients operated-on for uncomplicated hepatic hydatid cyst in Farhat Hached Hospital of Sousse over a period of 10 years.Results Two hundred twenty patients were operated-on for uncomplicated hydatid cyst. In univariate analysis, alkaline-phosphatase, gamma-glutamyl-transferase, alanine-transferase elevated levels and multiple type were factors associated with occult fistula, but gamma-glutamyl-transferase level was the only predictor in multivariate analysis.Conclusion These predictive factors could contribute to determine preoperative probability of occult fistula, thus indicating additional intraoperative procedures to ensure its identification. |
| format | Article |
| id | doaj-art-7fd4900c0f3e449eb031da109af32d6f |
| institution | Kabale University |
| issn | 2056-5623 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Future Science OA |
| spelling | doaj-art-7fd4900c0f3e449eb031da109af32d6f2025-01-28T07:59:48ZengTaylor & Francis GroupFuture Science OA2056-56232025-12-0111110.1080/20565623.2025.2458420Preoperative predictive factors of cystobiliary fistulas in liver hydatid cysts: results of a monocentric studyMohamed Salah Jarrar0Ines Karmani1Mehdi Chahed2Malek Barka3Mohamed Hedi Mraidha4Radhouane Toumi5Ameni Beizig6Khayri Dhouioui7Sabri Youssef8Department of General and Digestive Surgery, Farhat Hached University Hospital - Sousse, Sousse, TunisiaDepartment of General and Digestive Surgery, Farhat Hached University Hospital - Sousse, Sousse, TunisiaDepartment of General and Digestive Surgery, Farhat Hached University Hospital - Sousse, Sousse, TunisiaDepartment of General and Digestive Surgery, Farhat Hached University Hospital - Sousse, Sousse, TunisiaDepartment of General and Digestive Surgery, Farhat Hached University Hospital - Sousse, Sousse, TunisiaUniversity of Sousse, Sousse, TunisiaUniversity of Sousse, Sousse, TunisiaDepartment of General and Digestive Surgery, Farhat Hached University Hospital - Sousse, Sousse, TunisiaDepartment of General and Digestive Surgery, Farhat Hached University Hospital - Sousse, Sousse, TunisiaIntroduction The evolution of hepatic hydatid cyst can be enameled with complications, mainly biliary fistula, which can be both symptomatic or occult. The aim of this study is to identify the predictive factors of occult cysto-biliary communication.Material and methods This is a retrospective study of patients operated-on for uncomplicated hepatic hydatid cyst in Farhat Hached Hospital of Sousse over a period of 10 years.Results Two hundred twenty patients were operated-on for uncomplicated hydatid cyst. In univariate analysis, alkaline-phosphatase, gamma-glutamyl-transferase, alanine-transferase elevated levels and multiple type were factors associated with occult fistula, but gamma-glutamyl-transferase level was the only predictor in multivariate analysis.Conclusion These predictive factors could contribute to determine preoperative probability of occult fistula, thus indicating additional intraoperative procedures to ensure its identification.https://www.tandfonline.com/doi/10.1080/20565623.2025.2458420Hydatid cyst of the liverbiliary fistulaexternal biliary fistulaEchinococcus granulosuspredictive factors |
| spellingShingle | Mohamed Salah Jarrar Ines Karmani Mehdi Chahed Malek Barka Mohamed Hedi Mraidha Radhouane Toumi Ameni Beizig Khayri Dhouioui Sabri Youssef Preoperative predictive factors of cystobiliary fistulas in liver hydatid cysts: results of a monocentric study Future Science OA Hydatid cyst of the liver biliary fistula external biliary fistula Echinococcus granulosus predictive factors |
| title | Preoperative predictive factors of cystobiliary fistulas in liver hydatid cysts: results of a monocentric study |
| title_full | Preoperative predictive factors of cystobiliary fistulas in liver hydatid cysts: results of a monocentric study |
| title_fullStr | Preoperative predictive factors of cystobiliary fistulas in liver hydatid cysts: results of a monocentric study |
| title_full_unstemmed | Preoperative predictive factors of cystobiliary fistulas in liver hydatid cysts: results of a monocentric study |
| title_short | Preoperative predictive factors of cystobiliary fistulas in liver hydatid cysts: results of a monocentric study |
| title_sort | preoperative predictive factors of cystobiliary fistulas in liver hydatid cysts results of a monocentric study |
| topic | Hydatid cyst of the liver biliary fistula external biliary fistula Echinococcus granulosus predictive factors |
| url | https://www.tandfonline.com/doi/10.1080/20565623.2025.2458420 |
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