Authors
Ruziboyzoda K.R.1, 2, Kurbоnov K.M.1, 2, Halimov J.S.2
1 PI Health «Istiqlol» complex, Dushanbe, Tajikistan
2 Avicenna Tajik State Medical University, Dushanbe, Tajikistan
Abstract
Purpose. To improve the results of treatment of patients with benign obstructive jaundice. Material and methods. The results of a comprehensive diagnosis and treatment of 73 patients with obstructive jaundice of benign origin were analyzed. The cause of obstructive jaundice in the observed patients was: choledocholithiasis in 59 (80.8%) cases, in 14 (19.2%) cases, the cause of obstructive jaundice was cicatricial stricture of the formed biliodigestive anastomoses. To diagnose obstructive jaundice and its nature, as well as determine the causes and level of obstruction of the biliary tract, patients underwent comprehensive ultrasound examination, fibrogastroduodenoscopy, endosonography, magnetic resonance imaging, as well as endoscopic retrograde cholangiopancreatography. Results. Percutaneous transhepatic cholangiostoma under ultrasound control was performed in 59 (80.8%) patients, and in 14 (19.2%) cases this intervention was supplemented with stenting. In general, minimally invasive decompression echocontrolled interventions significantly improved the clinical condition in 63 (86.3%) patients with obstructive jaundice, and eliminated the manifestations of endotoxemia in 64 (87.6%) patients within 4–6 days. Hepatic insufficiency progressed in 4 (5.4%) patients, which was obviously due to undosed decompression of the biliary tract. In 32 cases, echocontrolled external and external-internal bile ducts were the final palliative (n = 14) and radical (n = 18) intervention. Complications of decompression echocontrolled interventions were in 7 cases, and fatal outcomes in 3 cases.
Keywords: minimally invasive interventions, decompression, mechanical jaundice.
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