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Biomedical subjects

A V Skums

Publications and source records attributed to A V Skums.

35 records · Page 2Linked to original sources
PubMed1994

[Surgical treatment of residual choledocholithiasis].

The results of studying of the treatment effectiveness in 30 patients with residual choledocholithiasis (RC) were generalized. In 131 (23.8%) of patients simultaneously with endoscopic papillosphincterotomy (EPST) various endobiliary manipulations on biliary ducts were conducted, in 21 (16.2%) of them--nasobiliary drainage, in 14 (10.8%)--mechanical lithotripsy, in 6 (4.5%)--lithotripsy plus nasobiliary drainage. Great significance in RC diagnosis have the methods of direct contrasting of biliary ducts. The authors characterize the partial, subtotal and total EPST according to the length of major duodenal papilla incision. After papillosphincterotomy in 97 (75%) of patients the concrements were mechanically removed with maximal diameter 2.5 cm. In 10.8% of patients complications occurred. All of the patients are alive.

Adult↗
PubMed1993

[A rational procedure for the treatment of patients with chronic calculous cholecystitis complicated by choledocholithiasis].

The results of surgical treatment of 156 patients with chronic calculous cholecystitis complicated by choledocholithiasis have been analysed. In 62 patients, cholecystectomy in combination with choledocholithotomy was performed. Ninety four patients underwent additional drainage operations on the terminal common bile duct. Endoscopic papillosphincterotomy was performed in 90% of cases, other drainage interventions (choledochoduodenostomy and transduodenal papillosphincterotomy)--in 10%.

Cholecystectomy↗
PubMed1993

[The differential diagnosis and therapeutic procedure in nontumorous mechanical jaundice and cholangitis].

The results of operative treatment of 2,875 patients with obstructive jaundice and cholangitis of nonneoplastic genesis are generalized. On the basis of rich clinical experience, the authors substantiate the principles of differential and topical diagnosis in obstructive jaundice and purulent cholangitis as well as the optimal therapeutic tactics in obstruction of the bile ducts of various levels and types. Problems are elaborated with respect of complex antibacterial therapy with the use of various routes of administration, including administration in the pre- and intraoperative period for preventive purposes.

Cholangitis↗
PubMed1991

[Diagnosis and principles of treatment of obstructive purulent cholangitis].

Having substantiated the results of treatment of 425 patients with purulent cholangitis caused by benign obstruction of the bile ducts, the authors suggest their definition of "purulent cholangitis". The two-stage operative interventions were used. At the first stage, the sparing decompression of the bile ducts, and as well rational regional antibacterial therapy were performed. The lethality reduced from 3 to 1.3%, purulent cholangitis was cupped off in 98.7% of the patients. The indications, methods for performance of endoscopic papillotomy, and as well of closed interventions in obstruction of the bile ducts with the use of a transcutaneous transhepatic approach are presented.

Cholangiopancreatography, Endoscopic Retrograde↗
PubMed1991

[Tactics for treating multiple liver abscesses formed after creation of a biliodigestive anastomosis].

The authors treated 18 patients with multiple cholangiogenic hepatic abscesses, which developed after creation of the biliodigestive anastomoses due to digestive-biliary reflux with prolonged retention of food masses in the bile ducts, duodenostasis and stenosing of the anastomosis. Puncture of the abscesses under guidance of sonography in combination with complex antibacterial therapy, timely correction of digestive-biliary reflux contributed to achieving the satisfactory result of treatment.

Adult↗
PubMed1990

[Reoperation after cholecysto-enterostomy].

Treated were 129 patients, who earlier underwent cholecysto-enterostomy in periampullary tumors. At the period of from 3.5 to 5 weeks after the first operation, these patients need thorough clinico-instrumental examination, they should be given aid at a specialized in-patient department.

Ampulla of Vater↗