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Shapovalyants S.G.

Pirogov Russian National Research Medical University;
Savelyeva City Clinical Hospital No. 31

Budzinsky S.A.

Pirogov Russian National Research Medical University;
Savelyeva City Clinical Hospital No. 31

Plakhov R.V.

Pirogov Russian National Research Medical University;
Savelyeva City Clinical Hospital No. 31

Kozlova P.S.

Pirogov Russian National Research Medical University

Freidovich D.A.

Savelyeva City Clinical Hospital No. 31

Fedorov E.D.

Pirogov Russian National Research Medical University;
Savelyeva City Clinical Hospital No. 31

Results of the use of X-ray endoscopic interventions in patients with «fresh» injuries of the biliary tract

Authors:

Shapovalyants S.G., Budzinsky S.A., Plakhov R.V., Kozlova P.S., Freidovich D.A., Fedorov E.D.

More about the authors

Journal: Endoscopic Surgery. 2025;31(4): 25‑36

DOI: 10.17116/endoskop20253104125

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RESULTS OF THE USE OF X-RAY ENDOSCOPIC INTERVENTIONS IN PATIENTS WITH «FRESH» INJURIES OF THE BILIARY TRACT
RESULTS OF THE USE OF X-RAY ENDOSCOPIC INTERVENTIONS IN PATIENTS WITH «FRESH» INJURIES OF THE BILIARY TRACT

To cite this article:

Shapovalyants SG, Budzinsky SA, Plakhov RV, Kozlova PS, Freidovich DA, Fedorov ED. Results of the use of X-ray endoscopic interventions in patients with «fresh» injuries of the biliary tract. Endoscopic Surgery. 2025;31(4):25‑36. (In Russ.)
https://doi.org/10.17116/endoskop20253104125

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Recommended articles:
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Abstract:

BACKGROUND

In recent years, X-ray endoscopic interventions (REI) have taken a strong position in the diagnosis and treatment of patients with «fresh» biliary tract injuries. The work is devoted to the assessment of the immediate and remote results of the use of REI in the treatment of patients with «fresh» biliary tract injuries.

MATERIAL AND METHODS

The treatment results of 76 patients with iatrogenic biliary tract injuries (2016—2024) diagnosed within 30 days of the primary intervention were retrospectively analyzed.

RESULTS

REI was performed in 50 (65.8%) of 76 patients, including transpapillary cholangioscopy in 6 (12%). Among 50 patients, Strasberg type A damage was detected in 35 (70%), type C — in 1 (2%); type D — in 9 (18%); type E — in 5 (10%). Using the retrograde approach, REI was performed in 44 (88%) cases; antegrade treatment was used in 5 (10%) patients, combined rendezvous access was used in 1 (2%). The impossibility of performing retrograde intervention was found in 5 (10%) patients: external drainage of the biliary tract was performed in 3 cases, and external-internal drainage was performed in 2 cases. The overall effectiveness of REI was 82% (in 41 patients) — as a final treatment method — in 33, and as an intermediate treatment — in 8. Technical and clinical failure of REI was found in 6 (12%) patients. In the late period, complete recovery was noted in 58.5% of patients.

CONCLUSION

REI is a key tool in the diagnosis of «fresh» biliary tract injuries, allowing to accurately determine the localization, type and tactics in patients of this category. The most favorable for performing REI treatment are «minor» type A injuries according to the Strasberg classification. In case of detection of «large» injuries, the use of REI can be both a preparatory stage before surgical or endoscopic reconstructive intervention, and a final method of restoring bile outflow

Keywords:

«fresh» bile duct injuries
endoscopic retrograde cholangiography
percutaneous cholangiostomy
transpapillary peroral cholangioscopy

Authors:

Shapovalyants S.G.

Pirogov Russian National Research Medical University;
Savelyeva City Clinical Hospital No. 31

Budzinsky S.A.

Pirogov Russian National Research Medical University;
Savelyeva City Clinical Hospital No. 31

Plakhov R.V.

Pirogov Russian National Research Medical University;
Savelyeva City Clinical Hospital No. 31

Kozlova P.S.

Pirogov Russian National Research Medical University

Freidovich D.A.

Savelyeva City Clinical Hospital No. 31

Fedorov E.D.

Pirogov Russian National Research Medical University;
Savelyeva City Clinical Hospital No. 31

Received:

04.09.2024

Accepted:

04.12.2024

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