Recurrent choledocholithiasis. Diagnosis, prevention and treatment
Shapoval'iants, S.G.; Myl'nikov, A.G.; Pan'kov, A.G.; Nikonov, A.A.; Ardasenov, T.B.; Veselova, V.S.
Eksperimental'naia i Klinicheskaia Gastroenterologiia 2012(4): 32-38
2012
ISSN/ISBN: 1682-8658 PMID: 23402151 Document Number: 657480
For the period of 6 years we have 110 patients with recurrent bile duct stones (BDS). Were evaluated the changes of the bile duct and bile papilla (BP), predisposing to the recurrence of BDS; the causes of recurrent BDS after endoscopic papillosphincterotomy (EPST). To improve the treatment results in patients with recurrent BDS is necessary: at the primary operation to estimate the changes of the BP and periampulyarnuyu area, in patients with completed EPST to prescribe litolitic therapy; in patients with a complex BDS after unsuccessful attempt of EPST to do holedoholitotomy with a blind stitch or in combination with the drainage of Pikovsky.