MEDICAL-DIAGNOSTIC ALGORITHM FOR PATIENTS
WITH OBSTRUCTIVE JAUNDICE OF VARIOUS ETIOLOGY

Nikol'skiy Valeriy Isaakovich, Doctor of medical sciences, professor, sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), nvi61@ya.ru
Gerasimov Aleksandr Viktorovich, Assistant, sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), gerasimov-av30@yandex.ru
Rozen Vladimir Vladimirovich, Head of radiodiagnostics unit, Penza region clinical hospital named after N.N.Burdenko (28 Lermontova street, Penza, Russia); assistant, sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), comfobulacia@yandex.ru
Klimashevich Aleksandr Vladimirovich, Candidate of medical sciences, associate professor, sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), klimashevich78@mail.ru
Fenerov Aleksandr Panteleevich, Practitioner, radiodiagnostics unit, Penza region clinical hospital named after N.N.Burdenko (28 Lermontova street, Penza, Russia), afenerov@rambler.ru

616.361-089

Background. The article is dedicated to a topical problem of diagnostics and treatment of patients with obstructive jaundice of different genesis. The study is aimed at developing and implementing clinical practice of diagnostics and treatment algorithm for patients with obstructive jaundice of various etiologies using modern minimally invasive technologies.
Materials and Methods. The authors analyzed the experience of diagnosing and treating 124 obstructive jaundice patients. The most patients were of elderly age (75.8 %). Depending on the identified level of bile block the patients were divided into 2 groups: 44 patients with high hepaticocholedoch block and 80 people with low choledoch block.
Results. The accumulated experience of the obstructive jaundice patients management allowed to develop and implement a diagnostic and treatment algorithm using minimally invasive methods of the biliary decompression system: endoscopic and percutaneous.
Conclusions. The suggested diagnostic and treatment algorithm will significantly reduce the mortality of patients with obstructive jaundice from 15-30 % to 2.4 %.

obstructive jaundice, miniinvasive endoscopic and percutaneous transhepatic interventions, biliary system.

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