Clonorchiasis (Asiatic cholangiohepatis)

Clonorchiasis (Asiatic cholangiohepatis)

This disease is endemic in the Far East. The fluke inhabits the bile ducts, including the intrahepatic ducts. Fibrous thicken - ing of the duct walls occurs. Many cases are asymptomatic. Complications include biliary pain, stones, cholangitis, cirrho - sis and bile duct carcinoma. Because a process of recur rent stone formation is established, choledochojejunostomy with a Roux loop fixed to the adjacent abdominal wall is performed in some centres to allow easy subsequent access to the duct system.