Retrograde stenting of the bile ducts for benign hepatopancreatoduodenal diseases
https://doi.org/10.16931/1995-5464.2019161-70
Abstract
Aim. To evaluate the immediate results of endoscopic retrograde stenting of bile ducts in benign hepatopancreatoduodenal diseases and to justify enlargement of indications for surgery.
Material and methods. There were 341 patients with various benign hepatopancreatoduodenal diseases for the period 2007–2017. Plastic stents were installed in 326 (95.6%) patients, metal self-expanding stents – in 15 (4.4%) patients.
Results. There was a tendency to increase of the number of stenting procedures in patients with benign hepatopancreatoduodenal diseases that was primarily due to expansion of indications for this intervention. Therapeutic and prophylactic purposes of biliary stenting were determined. The main objectives of therapeutic stenting were bile drainage restoration in obstructive jaundice, reduction of extra- and intrahepatic biliary pressure, as well as drainage of cavities in liver communicating with biliary system. The main prophylactic goal was to prevent violation of bile outflow after endoscopic manipulations on the major duodenal papilla at high risk of migration of stones from gallbladder and reflux cholangitis. Severe complications of endoscopic transpapillary procedures were not observed.
Conclusion. The indications for endoscopic transpapillary stenting of the bile ducts in case of benign hepatopancreatoduodenal diseases were systematized and reasonably expanded. Immediate results of biliary stenting confirm high efficacy of the method.
About the Authors
A. Ye. KotovskiyRussian Federation
Andrey E. Kotovskiy – Doct. of Med. Sci., Professor of the Chair of Hospital-Based Surgery
8, bld. 2, str. Trubetskaya, Moscow, 119991.
K. G. Glebov
Russian Federation
Konstantin G. Glebov – Doct. of Med. Sci., Head of the Endoscopic Department
23, str. Veshnyakovskaya, Moscow, 111539.
T. G. Dyuzheva
Russian Federation
Tatyana G. Dyuzheva – Doct. of Med. Sci., Professor of the Chair of Hospital-Based Surgery
8, bld. 2, str. Trubetskaya, Moscow, 119991.
T. A. Syumareva
Russian Federation
Tatyana A. Syumareva – Specialist for Endoscopic Diagnosis of the Endoscopic Department
23, str. Veshnyakovskaya, Moscow, 111539.
B. M. Magomedova
Russian Federation
Bariyat M. Magomedova – Assistant of the Chair of Hospital-Based Surgery
33/1, 135, str. Saltykovskaya, Moscow, 111672. Phone: 8-966-145-65-25.
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Review
For citations:
Kotovskiy A.Ye., Glebov K.G., Dyuzheva T.G., Syumareva T.A., Magomedova B.M. Retrograde stenting of the bile ducts for benign hepatopancreatoduodenal diseases. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2019;24(1):61-70. (In Russ.) https://doi.org/10.16931/1995-5464.2019161-70