[Diagnosis and principles of treatment of obstructive purulent cholangitis].
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.
Shalimov
S A
SA
Nichitaĭlo
M E
ME
Skums
A V
AV
D'iachenko
V V
VV
Ogorodnik
P V
PV
Todurov
I M
IM
Stasenko
A A
AA
Titapenko
S M
SM
D002760:Cholangiopancreatography, Endoscopic Retrograde; D002761:Cholangitis / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D002779:Cholestasis / Q000150:complications; D006801:Humans; D013105:Sphincterotomy, Transduodenal; D013492:Suppuration
Diagnostika i printsipy lecheniia obstruktivnogo gnoĭnogo kholangita.