TREATMENT ОF ACUTE PURULENT CHOLANGITIS WITH NASOBILIAR DRAINAGE

  • Yu.B. Zakharchenko
Keywords: cholangitis, obstructive jaundice, nasobiliar drainage

Abstract

The results of treatment the 34 patients with the acute purulent cholangitis was analysed. There were 9 men (26,4%) and 25 women (73,6%) in the age for 43 to 87. On the entrance those patients to the clinic their general condition  were heavy, but some of them had middle weight condition. The possibility violation of the gall-ducts on the level of common bile duct  were conditioned with:  the big stones have 18 patients (52,9%), which defied to endoscopic choledocholithotraction; strictures of the ducts have 8 patients (24,7%); combination of choledocholithiasis with the strictures have 5 patients (14,7%); combination of the chole­do­cholithiasis with parapapillar diverticulum have 3 patients (8,8%). The diagnostic program conclude of the clinical and laboratories methods investigations, ultrasound scanning, endofibroscopic investigation the top past of the gastro-intestinal tract, endoscopic retrograde cholangiopancreatography, cholangiomanometry, bacteriological cheek up of the bile. The treatment program included: the standard infussional therapy  of acute cholangitis and the obstructive jaundice; the endoscopic sphincterotomy  with following nasobiliar drainage; the landmark endocholangial leading physiological solution. As the results of the treatment  all pa­tients with acute obstructive purulent cholangitis in all cases were mixed in the period of 4-9 days after the treatment starting, with were definite by the clinical flowing and verified by the dates of laboratorical cheek up methods. All of these allowed to fulfil the radical surgical intervention on the  common bile duct with the least risk for the patient. There was no lethal outcome. 

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How to Cite
Zakharchenko, Y. (1). TREATMENT ОF ACUTE PURULENT CHOLANGITIS WITH NASOBILIAR DRAINAGE. The Journal of V. N. Karazin Kharkiv National University, Series "Medicine", (7), 44-48. Retrieved from https://periodicals.karazin.ua/medicine/article/view/7246
Issue
No. 7 (2004)
Section
Clinical research

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