Pathological syndromes of the biliary tract decompression

Background: The increased incidence of cholelithiasis and tumoral lesions of the hepatopancreatoduodenal zone leads to an increase in the number of patients with obstructive cholestasis. Aims: To identify the spectrum of pathological conditions developing after decompression of the biliary tract...

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Auteurs principaux:	Rasul T. Mejidov, Saadat Magomedova, Elmira P. Mamedova, Asli Z. Abdullaeva, Umukusum A. Nasibova
Format:	article
Langue:	RU
Publié:	Eco-vector 2021
Sujets:	decompression of the biliary tract obstructive cholestasis decompression syndromes of the biliary tract Medicine R
Accès en ligne:	https://doaj.org/article/a7a10fe1a3bd474abe8f0782d4c1dfa7
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spelling	oai:doaj.org-article:a7a10fe1a3bd474abe8f0782d4c1dfa72021-11-30T18:15:22ZPathological syndromes of the biliary tract decompression2220-30952618-862710.17816/clinpract21242https://doaj.org/article/a7a10fe1a3bd474abe8f0782d4c1dfa72021-10-01T00:00:00Zhttps://journals.eco-vector.com/clinpractice/article/viewFile/21242/pdfhttps://doaj.org/toc/2220-3095https://doaj.org/toc/2618-8627Background: The increased incidence of cholelithiasis and tumoral lesions of the hepatopancreatoduodenal zone leads to an increase in the number of patients with obstructive cholestasis. Aims: To identify the spectrum of pathological conditions developing after decompression of the biliary tract in obstructive cholestasis and to develop an effective pathogenetically determined algorithm for treating patients. Methods: The results of the examination and treatment of 216 patients with obstructive cholestasis, who underwent various options for decompression of the biliary tract, were analyzed. Obstructive cholestasis of a tumor genesis was present in 112 (51.8%) patients, benign cholestasis in 104 (48.2%). The main group included 112 patients, the comparison group included 104 patients. A two-stage tactics was applied in 133 (61.6%) cases, 83 patients (38.4%) were operated in one stage. The treatment results were compared for the experimental group (n=112) in which a pathogenetically based algorithm was applied and for the control group (n=104) receiving a standard therapy. Results: Accelerated decompression syndrome developed in 31 (14.3%) cases, of those 26 in the comparison group, 5 in the main group. Disorders of the water and electrolyte balance occurred in 32 (46.4%) patients with complete external bile diversion. Digestion remodeling syndrome was present in 44 patients from 117 patients with external bile diversion. Conclusions: It has been shown that the pathogenetically based therapy after biliary decompression significantly reduces the number of complications in the postoperative period.Rasul T. MejidovSaadat MagomedovaElmira P. MamedovaAsli Z. AbdullaevaUmukusum A. NasibovaEco-vectorarticledecompression of the biliary tractobstructive cholestasisdecompression syndromes of the biliary tractMedicineRRUКлиническая практика , Vol 12, Iss 3, Pp 21-29 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	decompression of the biliary tract obstructive cholestasis decompression syndromes of the biliary tract Medicine R
spellingShingle	decompression of the biliary tract obstructive cholestasis decompression syndromes of the biliary tract Medicine R Rasul T. Mejidov Saadat Magomedova Elmira P. Mamedova Asli Z. Abdullaeva Umukusum A. Nasibova Pathological syndromes of the biliary tract decompression
description	Background: The increased incidence of cholelithiasis and tumoral lesions of the hepatopancreatoduodenal zone leads to an increase in the number of patients with obstructive cholestasis. Aims: To identify the spectrum of pathological conditions developing after decompression of the biliary tract in obstructive cholestasis and to develop an effective pathogenetically determined algorithm for treating patients. Methods: The results of the examination and treatment of 216 patients with obstructive cholestasis, who underwent various options for decompression of the biliary tract, were analyzed. Obstructive cholestasis of a tumor genesis was present in 112 (51.8%) patients, benign cholestasis in 104 (48.2%). The main group included 112 patients, the comparison group included 104 patients. A two-stage tactics was applied in 133 (61.6%) cases, 83 patients (38.4%) were operated in one stage. The treatment results were compared for the experimental group (n=112) in which a pathogenetically based algorithm was applied and for the control group (n=104) receiving a standard therapy. Results: Accelerated decompression syndrome developed in 31 (14.3%) cases, of those 26 in the comparison group, 5 in the main group. Disorders of the water and electrolyte balance occurred in 32 (46.4%) patients with complete external bile diversion. Digestion remodeling syndrome was present in 44 patients from 117 patients with external bile diversion. Conclusions: It has been shown that the pathogenetically based therapy after biliary decompression significantly reduces the number of complications in the postoperative period.
format	article
author	Rasul T. Mejidov Saadat Magomedova Elmira P. Mamedova Asli Z. Abdullaeva Umukusum A. Nasibova
author_facet	Rasul T. Mejidov Saadat Magomedova Elmira P. Mamedova Asli Z. Abdullaeva Umukusum A. Nasibova
author_sort	Rasul T. Mejidov
title	Pathological syndromes of the biliary tract decompression
title_short	Pathological syndromes of the biliary tract decompression
title_full	Pathological syndromes of the biliary tract decompression
title_fullStr	Pathological syndromes of the biliary tract decompression
title_full_unstemmed	Pathological syndromes of the biliary tract decompression
title_sort	pathological syndromes of the biliary tract decompression
publisher	Eco-vector
publishDate	2021
url	https://doaj.org/article/a7a10fe1a3bd474abe8f0782d4c1dfa7
work_keys_str_mv	AT rasultmejidov pathologicalsyndromesofthebiliarytractdecompression AT saadatmagomedova pathologicalsyndromesofthebiliarytractdecompression AT elmirapmamedova pathologicalsyndromesofthebiliarytractdecompression AT aslizabdullaeva pathologicalsyndromesofthebiliarytractdecompression AT umukusumanasibova pathologicalsyndromesofthebiliarytractdecompression
_version_	1718406399416860672

Pathological syndromes of the biliary tract decompression

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