Novosti
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This journal is indexed in Scopus |
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Year 2012 Vol. 20 No 5
EXCHANGE OF EXPERIENCE
K.R. YUSIF-ZADE
EFFICIENCY OF ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY AND PAPILLOSPHINCTEROTOMY AT TREATMENT OF BILIARY SYSTEM DISEASES
Military Hospital, the State Border Service of AR, Baku
The Republic of Azerbaijan
Objectives. To evaluate the efficiency of the endoscopic retrograde cholangiopancreatography and endoscopic papillosphincterotomy at treatment of the biliary system diseases.
Methods. During the period from 2006 to 2011, 175 endoscopic retrograde cholan-giopancreatographies (ERCP) and 159 endoscopic papillosphincterotomies (EPST) were performed. All kinds of papillotomy were used: cannulation (complete, incomplete), needle (pre-cut, fistulotomy).
Results. The effectiveness of ERCP composed 92,7%. When it was impossible to carry out cannulation of Vater papilla and to reach the biliary system without trauma, we used needle or incomplete pre-cut papillotomy. Complication rate made up 8,9%. The highest percentage of complications was observed during the operation of EP-pre-cut (16,7%) with the needle electrode providing access to the common bile duct in the process the hindered cannulation. In 12 cases of the failed bile duct cannulation we managed to achieve positive results using a needle electrode.
Conclusions. The result analysis of the endoscopic procedures effectiveness indicates a high resolution capability of ERCP method (96,5%), and it is the «gold standard» at treatment of extrahepatic pathologies. Endoscopic papillotomy has high effectiveness amounting to 98,7%.
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AZ 1072, Respublika Azerbaydzhan, g. Baku, Narimanovskiy r-n, ul. Fatali Han Hoyski 99, Voennyiy gospital, gosudarstvennaya pogranichnaya sluzhba AR,
e-mail: yusifzadekr@yahoo.com,
Yusif-zade Kenan Rafael oglyi
Yusif-Zade K.R. Candidate of Medical Sciences, Chief of the Military Hospital of the State Border Service of Azerbaijan.
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