title: [Recurrent choledocholithiasis. Diagnosis, prevention and treatment].
abstract: For the period of 6 years we have 110 patients with recurrent bile duct stones (BDS). Were evaluated the changes of the bile duct and bile papilla (BP), predisposing to the recurrence of BDS; the causes of recurrent BDS after endoscopic papillosphincterotomy (EPST). To improve the treatment results in patients with recurrent BDS is necessary: at the primary operation to estimate the changes of the BP and periampulyarnuyu area, in patients with completed EPST to prescribe litolitic therapy; in patients with a complex BDS after unsuccessful attempt of EPST to do holedoholitotomy with a blind stitch or in combination with the drainage of Pikovsky.
authors: S G
authors: SG
authors: Shapoval'iants
authors: A G
authors: AG
authors: Myl'nikov
authors: A G
authors: AG
authors: Pan'kov
authors: A A
authors: AA
authors: Nikonov
authors: T B
authors: TB
authors: Ardasenov
authors: V S
authors: VS
authors: Veselova
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002763:Cholecystectomy / Q000379:methods*; D042883:Choledocholithiasis / Q000175:diagnosis / Q000517:prevention & control / Q000601:surgery; D003135:Common Bile Duct / Q000601:surgery; D004322:Drainage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055502:Secondary Prevention; D016717:Sphincterotomy, Endoscopic / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome