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https://doi.org/10.14300/mnnc.2016.11025

Optimal treatment strategy for patients with obstructive jaundice of various origins

[Surgery]
Arthur Aidemirov; Natalia Shahnazaryan; Albert Vafin; Arsen Shahnazaryan; Sergey Roy; Ahmad Saif;

The treatment challenges in patients with obstructive jaundice is one of the most pressing issues in abdominal surgery. Mechanical jaundice, as a complication of underlying disease and decompensation of intercurrent somatic illness – all this has an adverse impact on the overall condition of the patient. The treatment analysis of 150 patients. The control group included 85 patients with obstructive jaundice of various pathogenesis: in 51 (60.0 %) benign diseases of cholecystopancreatoduodenal region, in 34 (40.0 %) – malignant. The main group consisted of 65 patients, of whom 37 (56.9 %) were benign diseases of cholecystopancreatoduodenal region, in 28 (43.1 %) – malignant. Bile Drainage performed in all patients under ultrasound guidance. In the main group, the authors used patented technique of detoxification of obstructive jaundice, and applied a patented technique of automated and smooth return of bile into the digestive tract during eating. The authors noted an improvement in the results of treatment of patients with obstructive jaundice in the group where composite therapy was used in conjunction with the bile return into the digestive tract.

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Keywords: obstructive jaundice, detoxification, treatment, biliary decompression, digestive tract