Tempo Of Biliary Decompression After Endoscopic Transpapillary Interventions In Patients With The Obstructive Jaundice Due To Choledocholithiasis (Message 1)
DOI:
https://doi.org/10.11603/2414-4533.2016.4.7171Abstract
Dynamics of biochemical indices of cytolysis and cholestasis was presented in examined 59 patients with obstructive jaundice due to choledocholithiasis with different primary levels of hyperbilirubinemia on the 1–3 and 4–6 days after endoscopic transpapillary interventions. Tempo of biliary decompression was calculated using T. Shmizu and K. Yoshida formula in modification of E. I. Halperin. It was found that in patients with obstructive jaundice and bilirubinemia levels less than 100, and 100–200 mcmol/l biliary decompression had protracted and moderate tempo after endoscopic transpapillary interventions. At the same time in patients with bilirubinemia >200 mcmol/l tempo of biliary system reaction to decompression changed it character from protracted to fast tempo, that could be the reason of “fast decompression” syndrome.
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