Selection of biliary decompression method in patients with obstructive jaundice of non-tumor genesis
DOI:
https://doi.org/10.11603/2414-4533.2019.4.10706Keywords:
obstructive jaundice, external drainage of biliary ducts, biliodigestive anastomosis, endoscopic transpapillary interventionAbstract
The aim of the work: to study efficiency of biliary decompression after external and internal drainage of bile ducts, endoscopic transpapillary interventions in patients with obstructive jaundice of non-tumor genesis.
Materials and Methods. We analyzed the outcomes of surgical treatment of 200 patients with obstructive jaundice of the non-tumor genesis. The patients were divided into three groups: group I (n = 95), where endoscopic methods of biliary decompression were used; group II (n = 48), where biliodigestive anastomoses were formed; and group III (n = 57), where the external drainage of bile ducts was conducted.
Results and Discussion. The patients of the group I demonstrated a gradual decrease of bilirubin and alkaline phosphatase levels, which reached the normal readings on day 7. The patients of the group II demonstrated normal levels of bilirubin and alkaline phosphatase on day 14. The patients of the group III demonstrated rapid decrease of bilirubin and alkaline phosphatase levels, which reached the normal readings on day 28. The transaminase level in each group of patients had reached the norm earlier.
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