THE VALUE OF DEFORMATION OF THE BILE DUCTS IN THE DEVELOPMENT OF POSTCHOLECYSTECTOMY SYNDROME
Abstract
The aim of this study was to study meaning of bile ducts angulation in postcholecystectomical syndrome developing. Materials and methods. There were 27 patients to be followed-up, 15 of them were performed long-term multi-stent placement in order to pursue bile ducts angulation to be liquidate and angles. After that control estimation was having versus 12 patients of control group. Results. Author have seen diminish average amount of angles, their increased and accelerate of evacuation contrast speed into duodenum. That all have correlate with severe of postcholecystectomical syndrome and positive dynamic. Conclusion. The bile ducts angulation have meaning in postcholecystectomical syndrome developing and long-term multi-stent placement is effective way of its treatment.
References
1. Лазебник Л. Б. Потребность в медицинской помощи после оперативных вмешательств на желудке и желчном пузыре (обзор литературы и собственные данные) / Л. Б. Лазебник, М. И. Копанева, Т. Б. Ежова // Терапевт. арх. - 2004. - № 2. - С. 83-87.
2. Luman W, Williams AJ, Pryde A, et al. Influence of cholecystectomy on sphincter of Oddimotility. Gut 1997;41:371-4.
3. Prajapati N. D., Hogan W. J. Sphincter of Oddi dysfunction and other functional biliary disorders: evaluation and treatment. Gastroenterol Clin N Am 32 (2003) 601-618.
4. Rolny P, Geenen JE, Hogan WJ. Post-cholecystectomy patients with ‘objective signs’ of partial bile outflow obstruction: clinical characteristics, sphincter of Oddi manometry findings, and results of therapy. Gastrointest Endosc 1993;39:778-81.
5. Rosenblatt ML, Catalano MF, Alcocer E, et al. Comparison of sphincter of Oddi manometry, fatty meal sonography, and hepatobiliary scintigraphy in the diagnosis of sphincter of Oddi dysfunction. Gastrointest Endosc 2001;54:697-704.
6. Varadarajulu S., Hawes R. Key issues in sphincter of Oddi dysfunction Gastrointest Endoscopy Clin N Am 13 (2003) 671-694.
7. Hogan WJ, Geenen JE. Biliary dyskinesia. Endoscopy 1988;20(Suppl.1):179-83.
8. Jüngst C., Kullak-Ublick G.A., Jüngst D. Gallstone disease: Microlithiasis and sludge. Best Pract. Res.Clin. Gastroenterol. 2006; 20: 6: 1053-1062 Sporea Loan.
9. Geenen JT, Hogan J, Dodds WJ, et al. The efficacy of endoscopic sphincterotomy in post-cholecystectomy patients with sphincter of Oddi dysfunction: Results of a four year prospective study. N Engl J Med 1989 320 82-87.
10. D Keizman, M I Shalom, F M Konikoff; Does the bile duct angulation affect recurrence of choledocholithiasis? Surg Endosc 2006 Oct 20;20(10):1594-9
Review
For citations:
Yurchenko V.V. THE VALUE OF DEFORMATION OF THE BILE DUCTS IN THE DEVELOPMENT OF POSTCHOLECYSTECTOMY SYNDROME. Experimental and Clinical Gastroenterology. 2016;(10):75-79. (In Russ.)
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