Role of graduated biliary decompression in management of acute purulent cholangitis

Bekbauov S.A.

Pervyĭ moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova Minzdravsotsrazvitiia RF

Glebov K.G.

Pervyĭ moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova Minzdravsotsrazvitiia RF

Kotovskiĭ A.E.

Pervyĭ moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova Minzdravsotsrazvitiia RF

Role of graduated biliary decompression in management of acute purulent cholangitis

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Bekbauov S.A., Glebov K.G., Kotovskiĭ A.E.

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Journal: Endoscopic Surgery. 2012;18(2): 21‑25

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Bekbauov SA, Glebov KG, Kotovskiĭ AE. Role of graduated biliary decompression in management of acute purulent cholangitis. Endoscopic Surgery. 2012;18(2):21‑25. (In Russ.)

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Experience of treatment of 76 patients with obstructive jaundice complicated by acute purulent cholangitis has been analyzed. Malignant obstructive jaundice was observed in 63.3%, benign - in 36.7% of patients. Indications, diagnostic and treatment algorithm for acute cholangitis were defined. Graduate biliary decompression by means of nasobiliary drainage enables to: 1) lower bilirubin values in blood serum; 2) minimize manifestations of liver failure; 3) improve renal capacity; 4) effectively cope with signs of acute cholangitis. Efficacy of nasobiliary drainage among all patients comprised 95.6%, in malignant obstructive jaundice patients - 82.6%, among benign ones - 98.9%.

Keywords:

obstructive jaundice

acute purulent cholangitis

biliary decompression

nasobiliary drainage

Authors:

Bekbauov S.A.

Pervyĭ moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova Minzdravsotsrazvitiia RF

Glebov K.G.

Pervyĭ moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova Minzdravsotsrazvitiia RF

Kotovskiĭ A.E.

Pervyĭ moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova Minzdravsotsrazvitiia RF

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