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- W2894550034 abstract "Aim: To study the possibility of endoscopic retrograde interventions in choledocholithiasis and stenosis of the terminal department of choledochus. Materials and methods: From 2012 to 2017 years on the basis of faculty surgery of the Tashkent Medical Academy endoscopic methods of treatment of choledocholithiasis and stenosis of terminal department of choledochus were used in 45 patients. Among the patients were 34 (75.6%) women and 11 men (24.4%) aged 24 to 80 years (mean age 54.3 ± 7.22 years). Results: 42 patients had mechanical jaundice when they received or in anamnesis. The diameter of the choledochus, according to ultrasound, ranged from 5 mm to 1.4 cm (8.3 ± 1.42 cm). All patients underwent endoscopic retrograde cholangiopancreatography, in which 22 (48.9%) observations of choledocholithiasis of the terminal section of choledochus were detected, in 14 (31.1%) - stenosis and 9 (20%) - combination of choledolithiasis with stenosis of the distal section of the common bile duct duct. In 40 (88.9%) patients retrograde intervention was successful: in 33 - endoscopic papillosphincterotomy (EPST) with stone extraction and in 7 - EPST. In 5 (11.1%) observations retrograde intervention did not give the desired effect. Conclusion: Thus, the main method for diagnosis and treatment of choledocholithiasis and stenosis of the terminal department of choledochus is ERCP with EPST. If it is not possible to perform endoscopic interventions on the large duodenal papilla, open operations on the choledochus are performed with the imposition of biliodigistic anastomoses." @default.
- W2894550034 created "2018-10-12" @default.
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- W2894550034 date "2018-09-01" @default.
- W2894550034 modified "2023-10-16" @default.
- W2894550034 title "Possibilities of retrograd interventions in choledocholitias and stenosis of the terminal department of choledochus" @default.
- W2894550034 doi "https://doi.org/10.1016/j.hpb.2018.06.2483" @default.
- W2894550034 hasPublicationYear "2018" @default.
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