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Biomedical subjects

I V Shukshina

Publications and source records attributed to I V Shukshina.

8 recordsLinked to original sources
PubMed1990

[An endoscopic method of the treatment of complicated acute calculous cholecystitis].

Surgical treatment of acute cholecystitis attended by an affection of the extrahepatic bile ducts often leads to severe complications, particularly in elderly and old-aged patients, the mortality rate in such cases reaches 5-12%. The authors developed and introduced into practice a method of endoscopic treatment of acute combined diseases of the gallbladder and bile ducts, which included endoscopic papillotomy, antegrade catheterization of the gallbladder (laparoscopic cholecystostomy, transhepatic gallbladder drainage), antegrade perfusion with antiseptics under pressure, and various types of ante- and retrograde lithotripsy. Endoscopic method of treatment of combined diseases of the gallbladder and bile ducts makes it possible to remove the acute inflammatory process and in some cases may be an alternative to an emergency surgical operation.

Acute Disease↗
PubMed1988

[Endoscopic papillotomy in diseases of the extrahepatic bile ducts and major duodenal papilla].

An experience with using this operation in 500 patients aged from 22 to 90 is described. The authors suppose that endoscopic papillotomy in the majority of patients may be the method of treatment not requiring any additional curative measures. The application of not typical methods of operation makes the possibilities of endoscopic papillotomy wider in obstructive lesions of the major duodenal papilla.

Adult↗
PubMed1987

[Role of endoscopy in diseases of the extrahepatic bile ducts in patients after cholecystectomy].

The use of gastroduodenoscopy and retrograde pancreatocholangiography in patients after operation on bile ducts made it possible to choose the most effective therapeutic tactics. An analysis of the results of examination of 318 patients showed that most diseases of extrahepatic bile ducts after cholecystectomy were not correctable by surgery as a result of insufficient examination of the patients in the preoperative and operative periods. Endoscopic papillotomy is a method of treatment for patients with choledocholithiasis, stenosis of the major duodenal papilla (MDP) and MDP adenoma after operations on the beliferous system and can be regarded as an alternative to surgical operation. Surgical treatment in this group of patients is indicated for patients with extended stenosis of MDP and the terminal part of the common bile duct, strictures of the extrahepatic bile ducts and large-size choleliths in ineffective EPT.

Adult↗