Diagnostics and surgical treatment of papillospasm and papillostenosis

Abstract

The data of chromatic probing in combination with spectrophotometry of duodenal bile were analyzed in 125 patients with diseases of the biliary tract, 75 of which were operated on. It was found that changes in the first phase indicate dilatation of the common bile duct, impaired motility and cholangitis. The combination of indicators of the first and second phases makes it possible to detect the phenomenon of papillospasm or organic stenosis of the sphincter of Oddi. The data of the fourth phase help to reveal a violation of the contractile and drainage function of the gallbladder, redox processes in the liver and the wall of the gallbladder. Changes in the fifth phase make it possible to determine the pathology of the hepatic parenchyma. This technique made it possible to reduce the time of examination of patients after an attack of acute cholecystitis and to establish the correct diagnosis by 90%.

Keywords

papillospasm / papillostenosis / chromatic probing of the gallbladder / bile spectrophotometry

References

[1] Воробьев Ф. И. Вестн. хир., 1976, 3

[2] Дихтенко Г. И. Клин. хир., 1971, 3

[3] Jliescu G. Zbl. Chir., 1967, 19, 661

[4] Reich H. Surg Gynec. Obstet., 1940, 71, 39

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