Saratov JOURNAL of Medical and Scientific Research

Prevention of papillosphincterotomic wound bleeding after endoscopic intervention on major duodenal papilla in choledo-cholithiasis

Year: 2012, volume 8 Issue: №4 Pages: 1012-1016
Heading: Surgery Article type: Original article
Authors: TolstokorovA. S., Sarkisyan Z. О., Goch Е.М., Skopets S. М., Dergunova S. A., Rakhnayev D. Y. Parab D.
Organization: Saratov State Medical University

Objective of the study is to prevent bleeding from papillosphincterotomic wounds after endoscopic intervention. Methods: Analysis of the results of endoscopic intervention of patients receiving treatment at the Saratov regional hospital during the period from 2006 to 2010. Endoscopic papillotomy and papillosphincterotomy have been performed in 250 patients. Bleeding has been occurred in 21 (8.4%) of cases. Results: Bleeding from the PST or PT — wounds has occurred in self-discharge of CBD stones into duodenum. Conclusion: According to the observations, method of prevention of bleeding from PST-wound in choledocholithiasis has been proposed. It deals with the temporary installation of stent in the distal part of common bile duct for 2-4 days in multistage endoscopic operations.

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