Summary

Endoscopic retrograde cholangiopancreatography (ERCP) is becoming more widespread in the treatment of diseases of the bile ducts and pancreas. Studying the therapeutic and diagnostic capabilities of the ERCP and the complications accompanying this method made it possible to reconsider the indications andcontraindications for its use, the main of which is the removalof concretions from the bile ducts and the stenting in the caseof duct obturation with neoplasms. The purpose of the paper is to study the e ectiveness and safety of endoscopic methods oftreating pancreatobiliary pathology.



The results of the endoscopic treatment of 412 patients with diseases of the pancreatobiliary system who were on the treat- ment at the center of endoscopic surgery are presented in thisresearch paper. Primary surgical interventions were performed in 319 patients (77.43%). The cannulation of the desired duct with guidewire was achieved in 284 patients (68.93%). The most common indication for endoscopic interventions was me- chanical jaundice caused by concretions in the common bileduct in combination with calculous cholecystitis 209 patients (50,72%), recurrent choledocholithiasis was observed in 26 pa-tients (6,31%), neoplasms in the hepatopancreatoduodenal zone were found in 130 patients (31,55%).



Extraction of concrements from extrahepatic bile ducts was carried out in 235 patients (57,03%). Endobiliary stenting was performed in 158 (38,34%) patients in 122 (29,61%) of themdue to pancreatic tumors and extrahepatic biliary tract. The fre-quency of occurrence of postoperative complications does not exceed 7,8%.



Thus, ERCP is highly e ective diagnostic and treatment method that do not require general anesthesia, do not cause sig-ni cant surgical trauma, avoiding open surgery and improvingthe immediate and long-term outcomes of treatment.

MAY 2020

VOL. 302 No. 5

7 - 11

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Keywords

ERCP

Mechanical Jaundice

Choledocholithiasis