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Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery

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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. Kotovskiy
Sechenov First Moscow State Medical University
Russian 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
Filatov Municipal Clinical Hospital № 15 of the Moscow Department of Health
Russian Federation

Konstantin G. Glebov – Doct. of Med. Sci., Head of the Endoscopic Department

23, str. Veshnyakovskaya,  Moscow, 111539.



T. G. Dyuzheva
Sechenov First Moscow State Medical University
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
Filatov Municipal Clinical Hospital № 15 of the Moscow Department of Health
Russian Federation

Tatyana A. Syumareva – Specialist for Endoscopic Diagnosis of the Endoscopic Department

23, str. Veshnyakovskaya,  Moscow, 111539.



B. M. Magomedova
Sechenov First Moscow State Medical University
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.



References

1. Anderson M.A., Fisher L., Jain R., Evans J.A., Appalaneni V., Ben-Menachem T., Cash B.D., Decker G.A., Early D.S., Fanelli R.D., Fisher D.A., Fukami N., Hwang J.H., Ikenberry S.O., Jue T.L., Khan K.M., Krinsky M.L., Malpas P.M., Maple J.T., Sharaf R.N., Shergill A.K., Dominitz J.A. Complications of ERCP. ASGE Standards of Practice Committee. Gastrointest. Endosc. 2012; 75 (3): 467–473. https://doi.org/10.1016/j.gie.2011.07.010.

2. Alyanov A.L., Mamoshin A.V., Barsukov A.V. Effectiveness of minimally invasive technologies in the treatment of patients with obstructive jaundice syndrome. Uchyonye zapiski Orlovskogo gosudarstvennogo universiteta. Seriya: estestvennye, tekhnicheskie i medicinskie nauki. 2015; 4: 280–284. (In Russian)

3. Glebov K.G. Differencirovannyj podhod k kompleksnomu ehndoskopicheskomu vmeshatel'stvu po stentirovaniyu zhelchnyh protokov pri hirurgicheskih zabolevaniyah organov gepatopankreatoduodenal'noj zony[Differentiated approach to complex endoscopic intervention for stenting of the bile ducts in surgical diseases of the hepatopancreatoduodenal organs: author. … doct. med. sci.]. Moscow, 2016. 46 p. (In Russian)

4. Zavrazhnov A.A., Popov A.Yu., Petrovskiy A.N., Lishchenko A.N., Bykov M.I. Minimally invasive decompression of the bile ducts in the treatment of obstructive jaundice. Russian Sklifosovsky Journal “Emergency Medical Care”. 2012; 2: 54–58. (In Russian)

5. Tulin A.I., Zeravs N., Kupchs K. Endoscopic and percutaneous transhepatic biliary stenting. Annaly khirurgicheskoy gepatologii = Annals of HPB surgery. 2007; 12 (3): 53–61. (In Russian)

6. Dubravcsik Z., Virányi Z., Hausinger P., Szepes A., Hritz I., Fejes R., Balogh G., Székely A., Madácsy L. Early ERCP and biliary sphincterotomy with or without smal-caliber pancreatic stent insertion in patients with acute biliary pancreatitis: better overall outcome with adequate pancreatic drainage. Scand. J. Gastroenterol. 2012; 47 (6): 729–736. https://doi.org/10.3109/00365521.2012.660702.

7. Glebov K.G., Kotovskiy A.Ye., Dyuzheva T.G. The criteria for selecting the design of the endoprosthesis for endoscopic stenting of the bile ducts. Annaly khirurgicheskoy gepatologii = Annals of HPB surgery.2014; 19 (2): 55–65. (In Russian)

8. Kotovskiy A.Ye., Glebov K.G., Dyuzheva T.G., Syumareva T.A. The results of endoscopic treatment of Caroli disease. Klinicheskaya ehndoskopiya. 2014; 43 (1): 26–33. (In Russian)

9. Kabanov M.Yu., Yakovleva D.M., Semyontsov K.V. The role and place of minimally invasive drainage interventions in the treatment of diseases of the hepatopancreatoduodenal organs in advanced age patients. Annaly khirurgicheskoy gepatologii = Annals of HPB surgery. 2015; 20 (3): 37–46. https://doi.org/10.16931/1995-5464.2015337-46. (In Russian)

10. Budzinskiy S.A., Fedorov E.D., Konyukhov G.V., Kotiyeva A.Yu., Shapovaliyants S.G. The results of treatment of complications of endoscopic transpapillary interventions. Annaly khirurgicheskoy gepatologii = Annals of HPB surgery. 2015; 20 (3): 84–93. https://doi.org/10.16931/1995-5464.2015384-93 (In Russian)

11. Yuen N., O'Shaughnessy P., Thomson A. New classification system for indication for endoscopic retrograde cholangiopacreatography predicts diagnoses and adverse events. Scand. J. Gastroenterol. 2017; 52 (12): 1457–1465. https://doi.org/10.1080/00365521.2017.1384053.

12. Gabriel S.A., Dynko V.Yu., Golfand V.V., Guchetl A.Ya. The possibilities of endoscopic transpapillary interventions in the diagnosis and treatment of pancreatobiliary pathology. Endoskopicheskaya khirurgiya. 2013; 19 (4): 14–23. (In Russian)

13. Wilcox C.M., Lopes T.L. A randomized trial comparing endoscopic stenting to a sham procedure for chronic pancreatitis. Clin. Trials. 2009; 6 (5): 455–463. https://doi.org/10.1177/1740774509338230

14. Kotovskiy A.Ye., Glebov K.G., Syumareva T.A., Dyuzheva T.G., Zvereva A.A. Endoscopic diagnosis and treatment of papillostenosis. Vestnik khirurgii im. I.I. Grekova. 2016; 175 (2): 21–24. (In Russian)

15. Shapovaliyants S.G., Ardasenov T.B., Pankov A.G., Budzinskiy S.A., Veselova V.S. Complicated choledocholithiasis – the result of late surgical treatment of gallstone disease. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2013; 4: 15–21. (In Russian)

16. Shapovaliyants S.G., Budzinskiy S.A., Fedorov E.D., Bakhtiozina D.V. Long-term results of endoscopic transpapillary correction of cicatricial postoperative strictures of the biliary tract. Annaly khirurgicheskoy gepatologii = Annals of HPB surgery. 2017; 20 (3): 29–35. https://doi.org/10.16931/1995-5464.2017329-35. (In Russian)


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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

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ISSN 1995-5464 (Print)
ISSN 2408-9524 (Online)