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Biomedical subjects

N Braĭkov

Publications and source records attributed to N Braĭkov.

6 recordsLinked to original sources
PubMed1991

[The potentials of echotomography in the diagnosis of diseases of the liver, biliary tract and pancreas in the presence of the extrahepatic cholestasis syndrome].

2260 patients with gastroenterologic diseases were examined by ultrasound tomography (sector echotomograph). In 47 (2.8%) of the patients echographic signs of extrahepatic cholestasis were found: dilated ductus choledochus (65.9%), dilated ductus hepaticus (34%), dilated intrahepatic biliary ducts (34%), echographic data for stones in the biliary ducts (54.5%), dilated ductus pancreaticus (18.1%), focal changes in pancreas and liver (13.6%), hydrops of the gall bladder (6.8%). The patients were classified in two groups: in the first group the ultrasound tomography succeeded in proving the cause of the cholestasis (75%) while in the second group the cause of the cholestasis remained unproved (25%), which required other additional examination such as endoscopic retrograde cholangiopancreatography (ERCP) and computed tomography. In two patients the cause of cholestasis was determined intra operationem. The site of the obstruction was determined by the ultrasound examination in all patients. The importance of the ultrasound examination of the biliary ducts and its advantages as a nonaggressive screening method for diagnosis of diseases with obstructive jaundice is pointed out.

Bile Ducts↗
PubMed1991

[The so-called postcholecystectomy syndrome in light of the results of endoscopic retrograde cholangiopancreatography].

The term "postcholecystectomy syndrome" indicates etiologically and pathogenetically various lesions of the organism related to variably expressed symptoms of pain and dyspepsia. The author has performed endoscopic retrograde cholangiopancreatography (ERCP) to 60 patients with "postcholecystectomy syndrome" to find out what underlies this syndrome. In 34 (56%) of the patients the biliary ducts were dilated. The most frequent cause of this was Vater's papilla stenosis, which was found in 26 patients (43%). The author is of the opinion that this stenosis preceded the cholecystectomy and was the result of inflammatory processes related to cholelithiasis. In 20 patients stones were found in the biliary ducts, single or multiple. In most cases the stones in the biliary duct had been missed during the cholecystectomy. In some patients the stones in the biliary duct were formed after the operation. In 26.6% of the patients ERCP helped in discovering other diseases such as chronic pancreatitis, duodenal ulcer and peripapillary diverticulum which are in the basis of the "postcholecystectomy syndrome". The author recommends to every patients with persistent complaints after cholecystectomy ERCP to be performed in order to find out the cause of the complaints and determine the correct treatment--medicamentous or surgical.

Cholangiopancreatography, Endoscopic Retrograde↗
PubMed1978

[Endoscopic retrograde pancreatocholangiography (ERPC) (a preliminary report of 2 cases)].

The application of two retrograde pancreato-cholangiographies is reported in patients with papillo-oditis and chronic pancreatitis. The advantages of the method for the diagnosis of the diseases of bile and pancreatic duct systems are stressed upon. Temporary and rapid transitory diastases elevation in serum and urine was observed without pancreatitis manifestations.

Adult↗
PubMed1978

[Benign intermittent intrahepatic cholestasis].

Two cases with benign intermittent intrahepatal cholestasis are described for the first time. Young males are concerned with repeated mechanical jaundice with free bile ducts at operation and roentgenologically. The prognosis of both cases was favourable. The effect of periarterial sympathectomy is discussed as well as the T-shape drainage application.

Adult↗