title: [Diseases of the major duodenal papilla as a cause of post-cholecystectomy syndrome].
abstract: Analysis of 460 patients suffering from the postcholecystectomy syndrome (PCS) revealed an abnormality in the major duodenal papilla (MDP) in 32.4% of them. The development of PCS in this group of patients was caused by coexistence of several pathological processes, which was established in 71% of patients with diseases of the MDP. The most frequently encountered conditions were papillitis (59.1%), cicatricial stenosis (56.3%), and stones (14.7%). Papillitis plays a double cause-effect role in PCS: as a primary chronic disease it may lead to cicatricial stenosis of the MDP, and, on the other hand, it may be a consequence of choledocholithiasis, cholangitis, and other diseases. Endoscopic papillosphincterotomy is the most effective method for the treatment of PCS caused by MDP diseases; it makes it possible to reduce significantly the number of repeated abdominal operations.
authors.forename: V K
authors.initials: VK
authors.lastname: Gostishchev
authors.forename: V I
authors.initials: VI
authors.lastname: Misnik
authors.forename: I D
authors.initials: ID
authors.lastname: Kanorskiĭ
authors.forename: R A
authors.initials: RA
authors.lastname: Megrabian
authors.forename: A D
authors.initials: AD
authors.lastname: Gur'ev
authors.forename: Iu S
authors.initials: IuS
authors.lastname: Koshelev
mesh_terms: D000368:Aged; D014670:Ampulla of Vater; D002761:Cholangitis / Q000209:etiology; D002763:Cholecystectomy / Q000009:adverse effects*; D003137:Common Bile Duct Diseases / Q000209:etiology; D003251:Constriction, Pathologic; D042882:Gallstones / Q000209:etiology; D006801:Humans; D013577:Syndrome
vernacular_title: Zabolevaniia bol'shogo duodenal'nogo sosochka kak prichina postkholetsistéktomicheskogo sindroma.