UDK: 616.366-089.87-072.1:615.212

ENDOSCOPIC CORRECTION OF BILIARY HYPERTENSION IN PATIENTS WITH POSTCHOLECYSTECTOMY SYNDROME

A. G. Beburishvili, E. N. Zubina, V. V. Mandrikov, M. I. Turovets, Yu. I. Vedenin, A. I. Korotkova

Волгоградский государственный медицинский университет, Клиника факультетской хирургии ВолгГМУ, Волгоградский медицинский научный центр, Лаборатория хирургической гепатологии

Abstract

A prospective cohort study included 216 patients with postcholecystectomy syndrome who underwent endoscopic correction of biliary hypertension. The use of thoracic epidural analgesia as anaesthesia during endoscopic transpapillary intervention significantly reduced the risk of acute pancreatitis (Pearson, p = 0,0012). The best preventive effect was observed in patients with a combination of thoracic epidural analgesia and stenting of the main pancreatic duct (5Fr stent): 27 (in 100 % of cases) patients had no signs of acute pancreatitis. The results of the study showed that the use of endoscopic transpapillary interventions in combination with thoracic epidural analgesia is effective and safe, regardless of the cause of the disease.

Keywords

postcholecystectomy syndrome, endoscopic transpapillary intervention, thoracic epidural analgesia.

Contacts

Туровец Михаил Иванович — к. м. н., врач анестезиолог-реаниматолог, Волгоградский государственный медицинский университет, Клиника № 1, e-mail: turovets_aro@mail.ru