title: [Comparative assessment of methods of extracorporeal detoxication in obstructive jaundice].
abstract: Comparative analysis of the methods of extracorporeal detoxification in 168 patients was conducted. Endoscopic and surgical methods of treatment were applied in 40 patients without extracorporeal detoxification. Various types of extracorporeal detoxification were used along with endoscopic and operative methods in 168 patients: plasmapheresis (PP) in 72, thoracic duct (TD) drainage in 45, and hemosorption in 41 patients. In another 10 patients various types of detoxification were combined. TD drainage is indicated in prolonged obstructive jaundice, particularly when attended with cholangitis. TD drainage or PP is advisable in concomitant renal failure, PP and hemosorption have a good effect in obstructive jaundice as methods of emergency detoxification. Their efficacy increases if they are applied after endoscopic detoxification of the biliary tract.
authors.forename: O S
authors.initials: OS
authors.lastname: Kochnev
authors.forename: V N
authors.initials: VN
authors.lastname: Korobkov
authors.forename: I S
authors.initials: IS
authors.lastname: Malkov
authors.forename: R Sh
authors.initials: RSh
authors.lastname: Shaĭmardanov
authors.forename: A P
authors.initials: AP
authors.lastname: Borisov
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002779:Cholestasis / Q000601:surgery / Q000628:therapy*; D004322:Drainage; D004630:Emergencies; D004724:Endoscopy; D005069:Evaluation Studies as Topic; D005260:Female; D006464:Hemoperfusion; D006801:Humans; D008297:Male; D008875:Middle Aged; D010956:Plasmapheresis; D016060:Sorption Detoxification; D013897:Thoracic Duct
vernacular_title: Sravnite'naia otsenka metodov ékstrakorporal'noĭ detoksikatsii pri mekhanicheskoĭ zheltukhe.