[The role of opisthorchiasis in the development of mechanical jaundice and its treatment].
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Biomedical subjects
Publications and source records attributed to M P Kirilenko.
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The paper is grounded on the analysis of 243 case histories of the patients with opisthorchiasis operated upon for gastric and duodenal ulcer. Various modifications of Billroth II operation were carried out upon 174 patients and Billroth I operation--upon 66 patients. 33 patients developed various complications in early postoperative period, in 10 of them there was a pathogenetic association of the complication with a parasitogenic disease. 7 patients died.
An analysis of the results of the stomach resections with direct gastroduodenal anastomosis, carried out upon 67 cases with opisthorchiasis, for gastric and duodenal ulcer is presented. The author has described the peculiarities of the surgical treatment and management of such cases in early postoperative period with regard to the concomitant parasitic disease.
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Ten cases of spontaneous perforation of subcapsular bile ducts in patients with opisthordiasis are analysed. In 8 of them perforation of the bile duct developed against the background of purulent cholangitis. In addition to opisthordiasis during the operative procedure cancer of the liver was found in 3 patients and cancer of the pancreas - in 1. All these patients were operated upon: suturing of the perforated bile duct wall and cholecystostomy were performed in 6 patients, cholecystomy - in 3, incision of a subhepatic abscess - in 1. Postoperatively 6 patients died, 4 of them having neoplasms.
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