PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAPHY IN THE DIAGNOSTICS OF COMMON BILE DUCT DISEASES COMPLICATED BY OBSTRUCTIVE JAUNDICE*-Reference-Cited by-同舟云学术

PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAPHY IN THE DIAGNOSTICS OF COMMON BILE DUCT DISEASES COMPLICATED BY OBSTRUCTIVE JAUNDICE*

Published:2021 Issue:2 Volume:8 Page:62-67
ISSN:2391-7822
Container-title:Emergency Medical Service
language:en
Short-container-title:Emerg Med Serv

Author:

Boyko Valeriy V.¹,Avdosyev Yuriy V.²,Sochnieva Anastasiia L.³,Yevtushenko Denys O.³,Minukhin Dmitro V.³

Affiliation:

1. KHARKIV NATIONAL MEDICAL UNIVERSITY, KHARKIV, UKRAINE; STATE ESTABLISHMENT «INSTITUTE OF GENERAL AND EMERGENCY SURGERY NAMED AFTER ZAITSEV V.T. OF NAMS OF UKRAINE», KHARKIV, UKRAINE

2. STATE ESTABLISHMENT «INSTITUTE OF GENERAL AND EMERGENCY SURGERY NAMED AFTER ZAITSEV V.T. OF NAMS OF UKRAINE», KHARKIV, UKRAINE

3. KHARKIV NATIONAL MEDICAL UNIVERSITY, KHARKIV, UKRAINE

Abstract

Aim: Evaluation of the effectiveness of percutaneous transhepatic cholangiography in the diagnostics of bile duct diseases complicated by obstructive jaundice. Material and methods: This article presents the experience of using percutaneous transhepatic cholangiography in 88 patients with benign and malignant common bile duct diseases complicated by obstructive jaundice. Results: Methods of direct contrasting of the biliary tract make it possible to visualize choledocholithiasis with 86.5% accuracy, with 84.1% common bile duct strictures, with 87.8% stricture of biliodigestive anastomosis and with 97.5% accuracy of cholangiocarcinomas. Conclusions: Direct antegrade bile duct enhancement should be used if ERCPG has low explanatory value. PTCG in case of “endoscopically complicated forms” of choledocholithiasis, CBD and BDA strictures and cholangiocarcinomas enhances all bile duct sections and helps assess the level and completeness of biliary blockade. Following PTCG, measures can be taken to achieve biliary decompression regardless of OJ genesis.

Publisher

ALUNA

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