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conferenceseries.com
Volume 7, Issue 3 (Suppl) J Gastrointest Dig Syst, an open access journal
ISSN: 2161-069X Gastro 2017
June 12-13, 2017
June 12-13, 2017 Rome, Italy
11th Global
GastroenterologistsMeeting
Complications of antegradny access at the decompression of bilious channels in patients with mechanical
jaundice and ways of their treatment
Liana Kurmanseitova, Baycherov E and Dzhanibekova M
Stavropol State Medical University, Russia
Introduction: Percutaneous transhepatic drainage of the bile duct and its tributaries is performed for the patients who have
unresectable tumor of the hepato-duodenal area with obstruction of biliary system; only when it is not possible to drain by endoscopy
due to dramatic pathological changes in the region or low performance status of the patient. This procedure improves the quality of
life and overall survival without changing disease prognosis.
Aim: The aim of the study is the efficacy and safety assessment of percutaneous techniques installation of biliary drainage systems,
and differentiate possible complications and there treatment.
Method: From 2014 to 2015, the clinic endoscopic and minimally invasive surgery at Stavropol State Medical University (StSMU)
had 112 inpatients with obstructive jaundice. All patients underwent percutaneous transhepatic drainage of the bile duct and its
tributaries. Total 128 operations were done. The average patient age was 65.5 years; mean bilirubin level at admission was 253.
Results: We performed 128 operations on patients. In all cases, the biliary system was drained effectively. In 41.4% mounted external
drainage, 32% of the external-internal drainage, 4% drainage bilobar, 6.2% bile duct stent, 3.1% “rendez-vous” passage technique
of benign strictures of the common bile duct. In 1.5% of cases, after the drainage of the biliary ducts, hemobilia occurred that was
resolved conservatively by the change of drainage and washing. In 13.2% of cases of cholangitis after drainage, in all cases, they were
treated conservatively. Allergic reaction was observed to the anesthetic 2.3% (three patients). Leakage of bile into the abdominal
cavity was seen because of drainage migration in 1.5% (two patients). The lethal outcome of 0.5% (within seven days of observation)
and the duration of hospitalization were three days for the early ambulated patients- fast track.
Conclusion: Percutaneous transhepatic drainage of the bile duct and its tributaries is an important alternative to endoscopic
drainage. This intervention is shown to extend the lives of patients with malignant stricture with a low level of survival. Treatment
of postoperative complications, the ante-grade way of interventions in most cases doesn't demand performance of open operations.
Biography
Liana Kurmanseitova completed her PhD in Medicine at Moscow State University of Medicine and Dentistry. She is a Professional Surgeon in the field of Intervention
Surgery and currently employed at the clinic of endoscopic and minimally invasive surgery under Stavropol State Medical University. She has a vast experience in
the “Medical treatment of patients with obstruction jaundice”. She has participated in more than 15 international conferences and performed two on-line workshops
for the wide audience.
Liana Kurmanseitova et al., J Gastrointest Dig Syst 2017, 7:3(Suppl)
DOI: 10.4172/2161-069X-C1-049