Biliary parasites: Diagnostic and therapeutic strategies

Niraj Khandelwal, Joanna Shaw, Mamta K. Jain

Research output: Contribution to journalReview articlepeer-review

22 Scopus citations

Abstract

Parasitic infections of the biliary tract are a common cause of biliary obstruction in endemic areas. This article focuses on primary biliary parasites: Ascaris lumbricoides, Clonorchis sinensis, Opisthorchis viverrini, Opisthorchis felineus, Dicrocoelium dendriticum, Fasciola hepatica, and Fasciola gigantica. Tropical and subtropical countries have the highest incidence and prevalence of these infections. Diagnosis is made primarily through direct microscopic examination of eggs in the stool, duodenal, or bile contents. Radiologic imaging may show intrahepatic ductal dilatation, whereas endoscopic retrograde cholangiopancreatography can be used diagnostically and therapeutically. However, oral treatment is inexpensive and effective for most of these parasites and can prevent untoward consequences. Primary and alternative treatments are available and are reviewed in this article.

Original languageEnglish (US)
Pages (from-to)85-95
Number of pages11
JournalCurrent Treatment Options in Gastroenterology
Volume11
Issue number2
DOIs
StatePublished - Dec 1 2008

ASJC Scopus subject areas

  • Gastroenterology

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