D.M. KRASILNIKOV¹, D.M. MIRGASIMOVA¹,  A.V. ZAKHAROVA¹, M.A. NAZMEEV², D.Zh. VASILEV² 

¹ Kazan State Medical University of the Ministry of Health of the Russian Federation, Kazan

²Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, Kazan

  Contact details:

Krasilnikov D.M. ― MD, Professor, Head of the Department of Surgical Pathologies, Director of the Surgical Clinic

Address: 49 Butlerov St., Kazan, Russian Federation, 420012, tel. (843) 231-21-35, e-mail: dmkras131@gmail.com 

This article is devoted to the analysis of treatment experience of 2092 patients with obstructive jaundice in 2014-2018 in the departments of surgery and endoscopy of the Republican Clinical Hospital. Obstructive jaundice of benign genesis was observed in 1883 (90%) cases, treatment was carried out in two stages. In the first stage, in most cases (1761), endoscopic transpapillary interventions were performed. Complications after manipulations were observed in 16 (0.9%) patients, mortality — 1 (0.06%) case. Great importance in management of patients with obstructive jaundice and prevention of post-manipulation complications was attributed to complex pathogenetically substantiated conservative therapy. 

Key words: Endoscopy Department, obstructive  jaundice, endoscopic transpapillary interventions, prevention of complications.

(For citation: Krasilnikov D.M., Mirgasimova D.M., Zakharova A.V., Nazmeev M.A.,  Vasiliev  D.Zh.  Analysis of treatment results of patients with obstructive jaundice in RCH for the last 5 years. Practical medicine. 2019. Vol. 17, № 6 (part 2), P. 81-83)

REFERENCES

1. Vetshev P.S. Obstructive jaundice: causes and diagnostic approaches (lecture). Annaly khirurgicheskoy gepatologii, 2011, vol. 16, no. 3, pp. 50-57 (in Russ.).
2. Gal’perin E.I., Vetshev P.S. Rukovodstvo po khirurgii zhelchnykh putey [Guide to biliary tract surgery]. Moscow: Vidar-M, 2009. 568 p.
3. Sayfutdinov I.M., Slavin L.E. Ways of prevention of complications in endoscopic transpapillary interventions. Kazanskiy meditsinskiy zhurnal, 2016, vol. 97, no. 1, pp. 26-31 (in Russ.).
4. Krasil’nikov D.M., Salimzyanov Sh.S., Minnullin M.M. Diagnosis and surgical treatment of patients with obstructive jaundice syndrome (literature review). Kreativnaya khirurgiya i onkologiya, 2011, no. 4, pp. 118-125 (in Russ.).
5. Zakharova A.V. Improvement of diagnostic and surgical tactics in patients with obstructive jaundice. Prakticheskaya meditsina, 2013, no. 2 (67), pp. 156-159 (in Russ.).
6. Egamberdieva A.A., Shamsiev Zh.Z. The current state of diagnosis and treatment of obstructive jaundice (literature review). Nauchnye issledovaniya, 2018, no. 4 (23), pp. 69-72 (in Russ.).