Diagnosis and principles of treatment of obstructive purulent cholangitis
Shalimov, S.A.; Nichitaĭlo, M.E.; Skums, A.V.; D'iachenko, V.V.; Ogorodnik, P.V.; Todurov, I.M.; Stasenko, A.A.; Titapenko, S.M.
Klinicheskaia Khirurgiia 9: 1-4
1991
ISSN/ISBN: 0023-2130 PMID: 1766163 Document Number: 372293
Having substantiated the results of treatment of 425 patients with purulent cholangitis caused by benign obstruction of the bile ducts, the authors suggest their definition of "purulent cholangitis". The two-stage operative interventions were used. At the first stage, the sparing decompression of the bile ducts, and as well rational regional antibacterial therapy were performed. The lethality reduced from 3 to 1.3%, purulent cholangitis was cupped off in 98.7% of the patients. The indications, methods for performance of endoscopic papillotomy, and as well of closed interventions in obstruction of the bile ducts with the use of a transcutaneous transhepatic approach are presented.