CLINICAL FORMS OF CHOLEDOCHOLITIASIS
DOI:
https://doi.org/10.11603/2415-8798.2017.1.7569Keywords:
choledocholithiasis, ultrasound, fibroezofagogastroduodenoscopy, endoscopic retrograde cholangiopancreatography, magnetic resonance cholangiopancreatography.Abstract
Despite the achievements of modern innovative technologies in preoperative choledocholithiasis verification period is often not diagnosed, leading to the development of residual choledocholithiasis and recurrent operating procedures.
The aim of the study – to examine the clinical forms of choledocholithiasis and their diagnostic criteria.
Materials and Methods. The clinical forms of choledocholithiasis and sensitivity of different methods of instrumental studies (ultrasound (US), fibroezofagogastroduodenoscopy (FEGDS), endoscopic retrograde cholangiopancreatography (ERCP), magnetic resonance cholangiopancreatography (MRHPH)) were compared when choosing a diagnostic research plan based on a retrospective analysis of treatment of 177 patients.
Results and Discussion. Statistical analysis of the diagnostic value of symptoms allowed us to distinguish 4 clinical forms of choledocholithiasis with high specificity and sensitivity of clinical symptoms in icteric form, and insufficient informative with atypical and no icteric (asymptomatic forms). Retrograde cholangiopancreatography, magnetic resonance cholangiopancreatography with a high degree of certainty to diagnose calculus in the common bile duct with atypical forms no icteric choledocholithiasis.
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