RETROGRADE СOLANGIOPANCREATOGRAPHY (RCG) AND ENDOSCOPIC PAPILLOSPHINCTEROGRAPHY (EPG) IN NEW SCHEME OF ENDOSURGICAL STRATEGY OF TREATMENT OF CHOLECYSTITIS ACCOMPANIED BY BILIRUBINEMIA
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 organiz...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2018-01-01
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| Series: | Вестник хирургии имени И.И. Грекова |
| Subjects: | |
| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/717 |
| _version_ | 1797877678340046848 |
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| author | E. A. Baulina A. V. Allenov A. A. Baulin O. N. Shchekin V. A. Nikolashin O. A. Nikolashin V. A. Baulin R. R. Ilyasov O. A. Baulina |
| author_facet | E. A. Baulina A. V. Allenov A. A. Baulin O. N. Shchekin V. A. Nikolashin O. A. Nikolashin V. A. Baulin R. R. Ilyasov O. A. Baulina |
| author_sort | E. A. Baulina |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T02:21:02Z |
| format | Article |
| id | doaj.art-bf999bedefd941228a3f6978ff04ae99 |
| institution | Directory Open Access Journal |
| issn | 0042-4625 |
| language | Russian |
| last_indexed | 2024-04-10T02:21:02Z |
| publishDate | 2018-01-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj.art-bf999bedefd941228a3f6978ff04ae992023-03-13T08:09:15ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252018-01-01172308608810.24884/0042-4625-2013-172-3-086-088716RETROGRADE СOLANGIOPANCREATOGRAPHY (RCG) AND ENDOSCOPIC PAPILLOSPHINCTEROGRAPHY (EPG) IN NEW SCHEME OF ENDOSURGICAL STRATEGY OF TREATMENT OF CHOLECYSTITIS ACCOMPANIED BY BILIRUBINEMIAE. A. Baulina0A. V. Allenov1A. A. Baulin2O. N. Shchekin3V. A. Nikolashin4O. A. Nikolashin5V. A. Baulin6R. R. Ilyasov7O. A. Baulina8Institute of Advanced Medical StudiesInstitute of Advanced Medical StudiesInstitute of Advanced Medical StudiesInstitute of Advanced Medical StudiesInstitute of Advanced Medical StudiesInstitute of Advanced Medical StudiesInstitute of Advanced Medical StudiesInstitute of Advanced Medical StudiesInstitute of Advanced Medical StudiesThe 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.https://www.vestnik-grekova.ru/jour/article/view/717холециститэндохирургияcholecystitisendosurgerystrategy |
| spellingShingle | E. A. Baulina A. V. Allenov A. A. Baulin O. N. Shchekin V. A. Nikolashin O. A. Nikolashin V. A. Baulin R. R. Ilyasov O. A. Baulina RETROGRADE СOLANGIOPANCREATOGRAPHY (RCG) AND ENDOSCOPIC PAPILLOSPHINCTEROGRAPHY (EPG) IN NEW SCHEME OF ENDOSURGICAL STRATEGY OF TREATMENT OF CHOLECYSTITIS ACCOMPANIED BY BILIRUBINEMIA Вестник хирургии имени И.И. Грекова холецистит эндохирургия cholecystitis endosurgery strategy |
| title | RETROGRADE СOLANGIOPANCREATOGRAPHY (RCG) AND ENDOSCOPIC PAPILLOSPHINCTEROGRAPHY (EPG) IN NEW SCHEME OF ENDOSURGICAL STRATEGY OF TREATMENT OF CHOLECYSTITIS ACCOMPANIED BY BILIRUBINEMIA |
| title_full | RETROGRADE СOLANGIOPANCREATOGRAPHY (RCG) AND ENDOSCOPIC PAPILLOSPHINCTEROGRAPHY (EPG) IN NEW SCHEME OF ENDOSURGICAL STRATEGY OF TREATMENT OF CHOLECYSTITIS ACCOMPANIED BY BILIRUBINEMIA |
| title_fullStr | RETROGRADE СOLANGIOPANCREATOGRAPHY (RCG) AND ENDOSCOPIC PAPILLOSPHINCTEROGRAPHY (EPG) IN NEW SCHEME OF ENDOSURGICAL STRATEGY OF TREATMENT OF CHOLECYSTITIS ACCOMPANIED BY BILIRUBINEMIA |
| title_full_unstemmed | RETROGRADE СOLANGIOPANCREATOGRAPHY (RCG) AND ENDOSCOPIC PAPILLOSPHINCTEROGRAPHY (EPG) IN NEW SCHEME OF ENDOSURGICAL STRATEGY OF TREATMENT OF CHOLECYSTITIS ACCOMPANIED BY BILIRUBINEMIA |
| title_short | RETROGRADE СOLANGIOPANCREATOGRAPHY (RCG) AND ENDOSCOPIC PAPILLOSPHINCTEROGRAPHY (EPG) IN NEW SCHEME OF ENDOSURGICAL STRATEGY OF TREATMENT OF CHOLECYSTITIS ACCOMPANIED BY BILIRUBINEMIA |
| title_sort | retrograde сolangiopancreatography rcg and endoscopic papillosphincterography epg in new scheme of endosurgical strategy of treatment of cholecystitis accompanied by bilirubinemia |
| topic | холецистит эндохирургия cholecystitis endosurgery strategy |
| url | https://www.vestnik-grekova.ru/jour/article/view/717 |
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