Saratov JOURNAL of Medical and Scientific Research

Goch Е.М.

Saratov State Medical University n.a. V.I. Razumovsky, Department of Surgery of Raising Skills Faculty, Assistant Professor, Candidate of Medical Science

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
Summary:

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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Method of prevention of acute pancreatitis after diagnostic and therapeutic endoscopic retrograde cholangiopancreatography

Year: 2012, volume 8 Issue: №3 Pages: 845-849
Heading: Surgery Article type: Original article
Authors: Tolstokorov A.S., Sarkisyan Z.О., Goch Е.М., Volchkov A.S., Skopets S.М., Dergunova S.A., Rakhnayev D.Ya.
Organization: Saratov State Medical University
Summary:

Objective of the study: Prevention of acute pancreatitis after diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP). Material and Methods. Analysis of the results of diagnostic and therapeutic ERCP, of the patients treated at Saratov Regional clinical hospital f during the period from 2006 to 2010. Results, lincrease in pancreatic amylase levels in blood above 50 U/l till ERCP is a risk factor for development of acute pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP). Conclusion. The above-stated follows to the background of increased pancreatic amylase levels in blood, performance of endoscopic retrograde cholangiopancreatography led to the development of acute pancreatitis.

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Surgical Treatment of Mirizzi Syndrome

Year: 2010, volume 6 Issue: №2 Pages: 458-460
Heading: Surgery Article type: Original article
Authors: Е.М. Goch, V.V. Mikhnevich, A.S. Tolstokorov, V.A. Borisov, Yu.V. Kovalenko, D.R. Akchurina
Organization: Saratov State Medical University, Saratov Regional Clinical Hospital
Summary:

The results of treatment of 53 patients with Mirizzi syndrome are presented in the work. The article focuses on the modern classification of syndrome, diagnostics and surgical approach according to the severity of duct damage. Mirizzi syndrome proves to be the complication of cholelithiasis. It is one of the most complicated problems of biliary surgery

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