DIAGNOSIS AND TREATMENT, USING TRANSPAPILLARY INTERVENTIONS, IN PATIENTS, SUFFERING PORTAL BILIOPATHY

  • V. І. Коlomiytsev Lviv National Medical University named after Danylo Galytskyi
Keywords: portal hypertension, portal biliopathy, еndoscopic retrograde cholangiography, transpapillary interventions

Abstract

Results of miniinvasive endoscopic interventions in 31 patients, suffering portal biliopathy, were analyzed. In 7 (23%) patientsa portal biliopathy have occurred on background of the portal vein thrombosis, and in 19 (61%) – clinical signs were revealed, connected with the biliary ducts affection: choledocholithiasis (in 16%), stricture (in 35%), papillostenosis, coexistent with hyperbilirubinemia, jaundice, cholangitis. Diagnostic complex included ultrasonographic investigations with dopplerography, contrast-enhanced computeric tomography, magnet-resonance cholangiopancreaticography, diagnostic and treatment  endoscopic retrograde cholangiography with papillosphincterotomy, lithoextraction, еndobiliary stenting. Еndoscopic transpapillary interventions, not eliminating the main pathogenetic cause of portal biliopathy–portal hypertension -permit to solve the biliary hypertension problem in majority of patients.

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Published
2017-11-24
How to Cite
КоlomiytsevV. І. (2017). DIAGNOSIS AND TREATMENT, USING TRANSPAPILLARY INTERVENTIONS, IN PATIENTS, SUFFERING PORTAL BILIOPATHY. Klinicheskaia Khirurgiia, (10), 23-26. https://doi.org/10.26779/2522-1396.2017.10.23
Section
General Problems of Surgery