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    R. A. Prykhidko, M. O. Dudchenko, M. I. Kravtsiv, S. M. Zaiets, D. M. Ivashchenko, A. L. Chelishvili, M. P. Shevchuk

    A THREE-STAGE THERAPEUTIC AND DIAGNOSTIC ALGORITHM IN MECHANICAL JAUNDICE OF DIFFERENT GENESIS AND THE MOST EFFECTIVE MINI-INVASIVE METHOD OF ITS TREATMENT


    About the author: R. A. Prykhidko, M. O. Dudchenko, M. I. Kravtsiv, S. M. Zaiets, D. M. Ivashchenko, A. L. Chelishvili, M. P. Shevchuk
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation The paper analyzes the experience of treatment of mechanical jaundice with the use of minimally invasive surgical interventions in 176 patients. It has been found that the clinical presentation, laboratory parameters are of secondary importance in determining the etiology and level of biliary obstruction. For the differential diagnosis of etiological factors of obstructive jaundice, we used non-invasive and minimally invasive radiological methods: ultrasound – 203, magnetic resonance cholangiopancreatography – 98, multislice computed tomography – 74, endoscopic retrograde cholangiopancreatography - 138, percutaneous transhepatic cholangiography – 27. In order to determine the informativeness, we evaluated the detection of concretions, strictures of the bile ducts, mass lesions, dilation of intra- and extrahepatic bile ducts. Methods of elimination of biliary hypertension were various types of endoscopic decompression, which were performed in combination with endoscopic retrograde cholangiopancreatography and percutaneous transhepatic cholangiography. We compared the following aspects: the possibility of performing these types of decompression of the bile ducts, their effectiveness in eliminating jaundice and complications. Based on our results, we developed a 3-stage diagnostic and treatment algorithm, whose efficiency in the elimination of mechanical jaundice was 96.0 %.
    Tags mechanical jaundice, biliary decompression, percutaneous transhepatic cholangiography, magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiopancreatography
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    Publication of the article «World of Medicine and Biology» №2(80), 2022 year, 119-124 pages, index UDK 616.36–008.5–089
    DOI 10.26724/2079-8334-2022-2-80-119-124