title: [BALLOON DILATATION IN COMBINATION WITH A DOSED PAPILLOTOMY IN THE TREATMENT OF DIFFICULT FORMS OF CHOLEDOCHOLITHIASIS].
abstract: Results of treatment was studied in 2008 - 2015 yrs in 57 patients, suffering "difficult stones" (choledocholithiasis), in whom a dosed papillotomy in combination with the balloon dilatation. The advantages of application of combined dosed endoscopic papillosphincterotomy and balloon dilatation, comparing with complete endoscopic papillosphincterotomy, while treating "difficult stones" of common biliary duct, were established. Application of the procedure have guaranteed a good access through the duodenal papilla magna and have permitted to perform the calculi extraction in a less traumatic way, what have promoted its function preservation, and reduction of a postoperative complications rate, the patients' stationary treatment duration, and the remote complications rate. Using questionnaire SF-36, the quality of life was analyzed in patients, in whom in remote period the duodenal papilla magna function was preserved.
authors.forename: E I
authors.initials: EI
authors.lastname: Shapovalova
authors.forename: V V
authors.initials: VV
authors.lastname: Grubnik
authors.forename: A I
authors.initials: AI
authors.lastname: Tkachenko
authors.forename: D V
authors.initials: DV
authors.lastname: Gerasimov
authors.forename: R P
authors.initials: RP
authors.lastname: Romak
mesh_terms: D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D042883:Choledocholithiasis / Q000473:pathology / Q000523:psychology / Q000534:rehabilitation / Q000601:surgery*; D003135:Common Bile Duct / Q000473:pathology / Q000601:surgery; D004106:Dilatation / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D011788:Quality of Life / Q000523:psychology; D012189:Retrospective Studies; D016717:Sphincterotomy, Endoscopic / Q000295:instrumentation / Q000379:methods*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome