title: [A complex x-ray endoscopic study in complicated cholelithiasis].
abstract: Recurrent or residual choledocholithiasis was diagnosed in 202 patients with a history of cholecystectomy, in 148 cases this condition was combined with papillostenosis. Transfistula extraction of the concrements and endoscopic papillosphyncterotomy helped achieve cure of 186 (92%) patients without relaparotomy. The authors discuss the role of roentgenology in such combined x-ray and endoscopic diapedetic examinations and emphasize its role in identification of the diagnostic details that are so important for the choice of the optimal treatment strategy. They come to a conclusion that the results of treatment of complicated cholelithiasis by 'minor surgery' means depend not only on the manipulations and skills of the surgeon endoscopist, but on the full-value employment of roentgenology as well.
authors.forename: V I
authors.initials: VI
authors.lastname: Shumskiĭ
authors.forename: A I
authors.initials: AI
authors.lastname: Koval'kov
authors.forename: A L
authors.initials: AL
authors.lastname: Roslov
authors.forename: V A
authors.initials: VA
authors.lastname: Denisov
authors.forename: G L
authors.initials: GL
authors.lastname: Sachechelashvili
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002769:Cholelithiasis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D016145:Endoscopy, Digestive System; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012008:Recurrence
vernacular_title: Kompleksnoe rentgenoéndoskopicheskoe issledovanie pri oslozhennoĭ zhelchnokamennoĭ bolezni.