Minimally invasive endoscopic transpapillary interventions in patients with choledocholithiasis

DOI: https://doi.org/10.29296/25877305-2021-10-08
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Issue: 
10
Year: 
2021

Yu. Biktagirov(1, 2), Candidate of Medical Sciences; Professor E. Krivoshchekov(1, 2), MD; M.
Shteiner(1, 2), MD; Professor V. Romanov(1, 2), MD; M. Khoroshilov(1, 2), Candidate of Medical Sciences
(1)Samara State Medical University, Ministry of Health of Russia (2)V.D. Seredavin Samara Regional Clinical
Hospital

Objective. To study the results of endoscopic transpapillary interventions in the treatment of choledocholithiasis. Subjects and methods. In 2016–2020, the Endoscopy Unit, V.D. Seredavin Samara Regional Clinical Hospital, performed interventions into the major duodenal papilla in 354 patients (249 women and 105 men; the patients’ mean age, 65 years; and patients aged over 60 years (78%)) with obstructive jaundice caused by choledocholithiasis. Results. After various endoscopic interventions, it could be possible to extract concretions into the intestinal lumen and to restore choledocheal patency in 306 (86.3%) patients with single and multiple common bile duct stones of relatively small diameter (0.8–1.4 cm). Nasal biliary drainage was installed in 69 patients, which made it possible to reduce the manifestations of obstructive jaundice and to stop cholangitis. Large concretions measuring ≥1.5 cm were detected in 32 patients. The sizes of common bile duct concretions were
Keywords: 
gastroenterology
choledocholithiasis
endoscopic papillary sphincterotomy
minimally invasive interventions

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