RETROGRADE СOLANGIOPANCREATOGRAPHY (RCG) AND ENDOSCOPIC PAPILLOSPHINCTEROGRAPHY (EPG) IN NEW SCHEME OF ENDOSURGICAL STRATEGY OF TREATMENT OF CHOLECYSTITIS ACCOMPANIED BY BILIRUBINEMIA
https://doi.org/10.24884/0042-4625-2013-172-3-086-088
Abstract
The article is devoted to the substantiation of strategy changes in acute cholecystitis and the bilirubinemia of obscure etiology. At the first stage the treatment was started from RCG in 120 patients and RCG with EPG in 232 patients. The results obtained were not very good, there being many organizational problems. At the second stage the laparoscopic cholecystectomy with drainage of the common bile duct (228 patients) were performed in 248 patients with acute cholecystitis and increased bilirubin from 29,54 till 167,16 millimole/l. Futhermore, the postoperative transdrainage cholangiography was made in 184 (74,2%) patients, the stones or the obstruction of bile secretion weren’t found. The classical intervention on common bile duct was required only to 4 patients, for the rest EPG was performed according to the indications. EPG was the most effective and the results were the best.
About the Authors
E. A. Baulina
Institute of Advanced Medical Studies
Russian Federation
Russian Federation
A. V. Allenov
Institute of Advanced Medical Studies
Russian Federation
Russian Federation
A. A. Baulin
Institute of Advanced Medical Studies
Russian Federation
Russian Federation
O. N. Shchekin
Institute of Advanced Medical Studies
Russian Federation
Russian Federation
V. A. Nikolashin
Institute of Advanced Medical Studies
Russian Federation
Russian Federation
O. A. Nikolashin
Institute of Advanced Medical Studies
Russian Federation
Russian Federation
V. A. Baulin
Institute of Advanced Medical Studies
Russian Federation
Russian Federation
R. R. Ilyasov
Institute of Advanced Medical Studies
Russian Federation
Russian Federation
O. A. Baulina
Institute of Advanced Medical Studies
Russian Federation
Russian Federation
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Review
For citations:
Baulina E.A., Allenov A.V., Baulin A.A., Shchekin O.N., Nikolashin V.A., Nikolashin O.A., Baulin V.A., Ilyasov R.R., Baulina O.A. RETROGRADE СOLANGIOPANCREATOGRAPHY (RCG) AND ENDOSCOPIC PAPILLOSPHINCTEROGRAPHY (EPG) IN NEW SCHEME OF ENDOSURGICAL STRATEGY OF TREATMENT OF CHOLECYSTITIS ACCOMPANIED BY BILIRUBINEMIA. Grekov's Bulletin of Surgery. 2013;172(3):086-088. (In Russ.) https://doi.org/10.24884/0042-4625-2013-172-3-086-088
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