Publications by authors named "A P Krendal'"
The authors describe extensive strictures of the hepaticocholedochus, ranging from 2.5 cm in length to total involvement of the duct, in 15 patients with primary extrahepatic portal hypertension. In 7 patients they were combined with cystic dilatation of the intrahepatic bile ducts.
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- The study evaluates treatment outcomes for 185 patients with acute cholecystitis and bile duct issues, highlighting the high risks associated with surgical procedures.
- For 83 patients, an endoscopic approach (papillosphincterotomy) was used initially, with nasobiliary drainage or laparoscopic cholecystostomy applied as needed.
- A two-stage treatment process is recommended, allowing recovery from severe conditions before addressing bile duct changes, which helps lower postoperative complications based on the severity of each patient's condition.
[Cholelithiasis in patients with primary extrahepatic portal hypertension].
Klin Khir (1962)
February 1991
The results of treatment of 17 patients who had primary extrahepatic portal hypertension in combination with cholelithiasis are analysed. Of them 13, were operated on. In presence of the extended strictures of the bile ducts, the performance of hepaticojejunostomy is mandatory.
View Article and Find Full Text PDFThe authors analyse treatment of 115 patients who were admitted for acute cholecystitis with involvement of the bile ducts which manifested itself as a rule, as obstructive jaundice and cholangitis. Endoscopic papillosphincterotomy (EPST) was conducted as the first stage of treatment in 83 patients, as the second stage after cholecystectomy or laparoscopic cholecystotomy in 30, and during the surgical intervention in 2 patients. Experience shows that treatment of this contingent of patients in two stages is advisable.
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