A differentiated approach to the treatment of patients with acute cholangitis
Journal Title: International Journal of Medical and Health Research - Year 2017, Vol 3, Issue 11
Abstract
The study was based on the treatment results of 217 patients with mechanical jaundice of benign genesis complicated by purulent cholangitis. In 53 patients with cholemic endotoxicosis after preliminary minimally invasive decompression of the bile ducts various methods of treatment were used. In 17 patients (group I), traditional treatment including infusion and antibiotic therapy was used; in 18 patients (group II) plasmapheresis was used in combination with indirect electrochemical oxygenation (IECO) of plasma with sodium hypochlorite; and in 18 (group III) with additional ozonation of plasma (PA with IECO + Ozone) and subsequent reinfusion of detoxified plasma. Comparative evaluation of the laboratory parameters dynamics in the process of treatment in groups 2 and 3 did not reveal any significant differences. Hyperleukocytosis before operative treatment is noted in both groups. However, after surgical treatment in group 1 patients, the leukocytosis parameters are normalized only at the time of discharge, which indicates more pronounced purulent intoxication. At the same time, in patients of groups 2 and 3 there was a more rapid decrease and normalization of leukocytosis on the 5th postoperative day. The developed differential surgical tactic with the implementation of minimally invasive decompression and the use of plasmapheresis allows to stop the phenomenon of endotoxicosis, cholestasis and liver dysfunction and thereby improve the results of treatment.
Authors and Affiliations
Azamat Shamsiyev, Salim Davlatov
Keywords
Related Articles
- EP ID EP587765
- DOI -
- Views 140
- Downloads 0
Non-surgical management of Post cholecystectomy bile leakage: Experience from tertiary care centre in Bihar
Biliary like age is the most common morbidity after cholecystectomy. Cholecystectomy is the most commonly surgical Procedure in India because cholelithiasis is a very common problem in India and hence an effective manage...
Monitoring of symptoms of ectopic pregnancy in SKMCH
Even though women with ectopic pregnancy usually have no identifiable risk factors, knowledge of the associated risk factors helps identify women at higher risk of ectopic pregnancy to facilitate early and more accurate...
Consequences of alcohol use among the HIV positive patients who are on antiretroviral therapy: A prospective study
Background: Alcohol use among HIV-positive individuals is associated with decreased adherence to antiretroviral therapy (ART) and consequently poorer HIV treatment outcomes. Aims and Objective: To study and compare the c...
Assessment of cerebral edema in birth asphyxia by using transcranial color doppler
In this study 50 neonates having gestational age of more than 37 to less than 42 completed weeks with perinatal asphyxia delivered or referred to Nalanda medical college and hospital, patna were enrolled. Measurement of...
Evaluation of gestational age as a risk factor for thrombocytopenia in preterm neonates
Background Thrombocytopenia is a common problem in preterm neonates. Thrombocytopenic neonates are at an increased risk of life threating complications. Hence this study was done with the objective to analyse gestational...