title: [The diagnostics of the obstructive jaundice and possibilities to improve the efficacy of its miniinvasive treatment].
abstract: The study, which included data of 226 patients with the obstructive jaundice, proved, that the clinical presentation and laboratory tests have secondary role in diagnosing the level of the biliary block. Among diagnostic means of detecting the etiology of the obstruction were the ultrasound investigation (n=268); the magnetic resonance cholangiopanreatography (n=143); the multispiral computed tomograpth (n=119); the endoscopic retrograde cholangiopanreatography (n=187) and the transcutaneous transhepatic cholangiopanreatography (n=69). Flaws and pros of all the methods were thoroughly analyzed. The endoscopic (n=172) and transcutaneous transhepatic cholangiostomy (n=87) were used for biliary decompression. The comparative analysis of both diagnostic and treatment means allowed the creation of 3-stage algorithm. The efficacy of the last for patients with the obstructive jaundice was 96%.
authors.forename: S N
authors.initials: SN
authors.lastname: Kononenko
authors.forename: S V
authors.initials: SV
authors.lastname: Limonchikov
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001659:Biliary Tract / Q000000981:diagnostic imaging / Q000503:physiopathology; D001662:Biliary Tract Surgical Procedures / Q000379:methods / Q000592:standards; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D002779:Cholestasis / Q000150:complications / Q000503:physiopathology; D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D041781:Jaundice, Obstructive / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods / Q000592:standards; D058996:Quality Improvement; D036542:Tomography, Spiral Computed / Q000379:methods*; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods*