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Budzinsky S.A.

Department of Hospital Surgery №2 with the research laboratory of surgical gastroenterology and endoscopy, N.I.Pirogov Russian National Research Medical University, Moscow;
City Clinical Hospital №31, Moscow Health Department, Moscow

Gorbachev E.V.

Department of Hospital Surgery №2 with the research laboratory of surgical gastroenterology and endoscopy, N.I. Pirogov Russian National Research Medical University, Moscow;
City Clinical Hospital №31, Moscow Health Department, Moscow

Freidovich D.A.

City Clinical Hospital №31, Moscow Health Department, Moscow

Kapranov S.A.

City Clinical Hospital №31, Moscow Health Department, Moscow

Zlatovratsky A.G.

City Clinical Hospital №31, Moscow Health Department, Moscow

Fedorov E.D.

Kafedra gospital'noĭ khirurgii #2 i nauchno-issledovatel'skaia laboratoriia khirurgicheskoĭ gastronterologii i ndoskopii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova

Shapoval’yants S.G.

Department of Hospital Surgery №2 with the research laboratory of surgical gastroenterology and endoscopy, N.I. Pirogov Russian National Research Medical University, Moscow

The combined minimally invasive treatment of hemobilia developing after percutaneous drainage of the biliary tract in the patients presenting with mechanical jaundice of blastomatous genesis

Authors:

Budzinsky S.A., Gorbachev E.V., Freidovich D.A., Kapranov S.A., Zlatovratsky A.G., Fedorov E.D., Shapoval’yants S.G.

More about the authors

Journal: Russian Journal of Evidence-Based Gastroenterology. 2016;5(1): 26‑31

DOI: 10.17116/dokgastro20165126-30

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Table of contents

THE COMBINED MINIMALLY INVASIVE TREATMENT OF HEMOBILIA DEVELOPING AFTER PERCUTANEOUS DRAINAGE OF THE BILIARY TRACT IN THE PATIENTS PRESENTING WITH MECHANICAL JAUNDICE OF BLASTOMATOUS GENESIS
THE COMBINED MINIMALLY INVASIVE TREATMENT OF HEMOBILIA DEVELOPING AFTER PERCUTANEOUS DRAINAGE OF THE BILIARY TRACT IN THE PATIENTS PRESENTING WITH MECHANICAL JAUNDICE OF BLASTOMATOUS GENESIS

To cite this article:

Budzinsky SA, Gorbachev EV, Freidovich DA, Kapranov SA, Zlatovratsky AG, Fedorov ED, Shapoval’yants SG. The combined minimally invasive treatment of hemobilia developing after percutaneous drainage of the biliary tract in the patients presenting with mechanical jaundice of blastomatous genesis. Russian Journal of Evidence-Based Gastroenterology. 2016;5(1):26‑31. (In Russ.)
https://doi.org/10.17116/dokgastro20165126-30

 
Подписка 2025-2 (Russian Journal of Evidence-Based Gastroenterology)
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One of the causes of mechanical jaundice is the blockade of the bile ducts by a tumour. The most efficient method for the drainage of the obstructed biliary tract is transcapillary stenting of the extrahepatic bile ducts that is currently considered to be the «golden standard» in the treatment of this pathology. Whenever the retrograde access is impracticable, the alternative methods can be used including either percutaneous drainage under ultrasound or X-ray control or the surgical intervention. All these approaches are associated with the serious risk of hemorrhage. For example, percutaneous transhepatic drainage is known to cause bleeding in 2—3% of the cases while retrograde interventions result in hemorrhage in 1.2—1.5% of the clinical situations. The present article reports the experience with the combined minimally invasive treatment of hemobilia known to develop after percutaneous transcutaneous drainage of the biliary tract as exemplified by the management of a patient presenting with mechanical jaundice of blastomatous genesis.

Keywords:

tumour of the head of the pancreas
mechanical jaundice
angiography
endoscopic bilio-duodenal prosthetics

Authors:

Budzinsky S.A.

Department of Hospital Surgery №2 with the research laboratory of surgical gastroenterology and endoscopy, N.I.Pirogov Russian National Research Medical University, Moscow;
City Clinical Hospital №31, Moscow Health Department, Moscow

Gorbachev E.V.

Department of Hospital Surgery №2 with the research laboratory of surgical gastroenterology and endoscopy, N.I. Pirogov Russian National Research Medical University, Moscow;
City Clinical Hospital №31, Moscow Health Department, Moscow

Freidovich D.A.

City Clinical Hospital №31, Moscow Health Department, Moscow

Kapranov S.A.

City Clinical Hospital №31, Moscow Health Department, Moscow

Zlatovratsky A.G.

City Clinical Hospital №31, Moscow Health Department, Moscow

Fedorov E.D.

Kafedra gospital'noĭ khirurgii #2 i nauchno-issledovatel'skaia laboratoriia khirurgicheskoĭ gastronterologii i ndoskopii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova

Shapoval’yants S.G.

Department of Hospital Surgery №2 with the research laboratory of surgical gastroenterology and endoscopy, N.I. Pirogov Russian National Research Medical University, Moscow

List of references:

  1. Artifon EL, Chaves DM, Ishioka S, Souza TF, Matuguma SE, Sakai P. Echoguided hepatico-gastrostomy: a case report. Clinics (Sao Paulo). 2007;62(6):799-802.  doi:10.1590/s1807-59322007000600023 
  2. Beissert M, Wittenberg G, Sandstede J, Beer M, Tschammler A, Burghardt W, Jahns R, Hahn D. Metallic Stents and Plastic Endoprostheses in Percutaneous Treatment of Biliary Obstruction. Journal Zeitschrift für Gastroenterologie. 2002;40(7):503-510.  doi:10.1055/s-2002-32806
  3. Irisawa A, Hikichi T, Shibukawa G, Takagi T, Wakatsuki T, Takahashi Y, Imamura H, Sato A, Sato M, Ikeda T, Suzuki R, Obara K, Ohira H. Pancreatobiliary drainage using the EUS-FNA technique: EUS-BD and EUS-PD. Journal of Hepato-Biliary-Pancreatic Surgery. 2009;16:598-604.  doi:10.1007/s00534-009-0131-5 
  4. Saad WE, Davies MG, Darcy MD. Management of bleeding after percutaneous transhepatic cholangiography or transhepatic biliary drain placement. J Tech Vasc Interv Radiol. 2008;11(1):60-71.  doi:10.1053/j.tvir.2008.05.007 
  5. ASGE Standards of Practice Committee, Anderson MA, Fisher L, Jain R, Evans JA, Appalaneni V, Ben-Menachem T, Cash BD, Decker GA, Early DS, Fanelli RD, Fisher DA, Fukami N, Hwang JH, Ikenberry SO, Jue TL, Khan KM, Krinsky ML, Malpas PM, Maple JT, Sharaf RN, Shergill AK, Dominitz JA. Complications of ERCP (ASGE Guideline). Gastrointestinal Endoscopy. 2012;75(3):467-473.  doi:10.1016/s0016-5107(12)00049-1

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