title: [Diagnosis and principles of treatment of obstructive purulent cholangitis].
abstract: Having substantiated the results of treatment of 425 patients with purulent cholangitis caused by benign obstruction of the bile ducts, the authors suggest their definition of "purulent cholangitis". The two-stage operative interventions were used. At the first stage, the sparing decompression of the bile ducts, and as well rational regional antibacterial therapy were performed. The lethality reduced from 3 to 1.3%, purulent cholangitis was cupped off in 98.7% of the patients. The indications, methods for performance of endoscopic papillotomy, and as well of closed interventions in obstruction of the bile ducts with the use of a transcutaneous transhepatic approach are presented.
authors.forename: S A
authors.initials: SA
authors.lastname: Shalimov
authors.forename: M E
authors.initials: ME
authors.lastname: Nichitaĭlo
authors.forename: A V
authors.initials: AV
authors.lastname: Skums
authors.forename: V V
authors.initials: VV
authors.lastname: D'iachenko
authors.forename: P V
authors.initials: PV
authors.lastname: Ogorodnik
authors.forename: I M
authors.initials: IM
authors.lastname: Todurov
authors.forename: A A
authors.initials: AA
authors.lastname: Stasenko
authors.forename: S M
authors.initials: SM
authors.lastname: Titapenko
mesh_terms: D002760:Cholangiopancreatography, Endoscopic Retrograde; D002761:Cholangitis / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D002779:Cholestasis / Q000150:complications; D006801:Humans; D013105:Sphincterotomy, Transduodenal; D013492:Suppuration
vernacular_title: Diagnostika i printsipy lecheniia obstruktivnogo gnoĭnogo kholangita.