title: [Improvement of endoscopic treatment of the acute cholecystitis].
abstract: Treatment results of 763 patients with acute cholecystitis were analyzed. Destructive forms of the disease was diagnosed by the ultrasound examination in all cases. Choledocholithiasis was diagnosed in 35 (4.6%), choledocholithiasis with papilla Vatery stricture was in 9 (1.2%) patients and isolated papilla Vatery stricture was registered in 5 (0.7%) patients. All patients were attempted to treat laparoscopically with the use of original "Device for antegrade papillotomy" and "Method of antegrade bipolar papillosphincterotomy". Authors state, that a final decision about the possibility of endoscopic treatment of the acute cholecystitis can be made after detection of anatomical structures of the Calo triangle. By complicated forms of the disease a one-stage laparoscopic treatment should be preferred. Endoscopic papillosphincterotomy should be performed only by the enblocked concrement of the papilla Vatery.
authors.forename: P M
authors.initials: PM
authors.lastname: Nazarenko
authors.forename: D P
authors.initials: DP
authors.lastname: Nazarenko
authors.forename: O N
authors.initials: ON
authors.lastname: Tarasov
authors.forename: Ia V
authors.initials: IaV
authors.lastname: Iangolenko
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014670:Ampulla of Vater / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D001662:Biliary Tract Surgical Procedures / Q000009:adverse effects / Q000379:methods; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects*; D041881:Cholecystitis, Acute / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D042883:Choledocholithiasis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D020776:Endoscopes, Gastrointestinal / Q000592:standards; D004867:Equipment Design; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000592:standards; D016717:Sphincterotomy, Endoscopic / Q000009:adverse effects / Q000295:instrumentation*; D016896:Treatment Outcome