Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
1083 4 |
Ultima descărcare din IBN: 2020-10-11 18:16 |
SM ISO690:2012 HURMUZACHE, Artur, HOTINEANU, Vladimir, HOTINEANU, Adrian, BORTĂ, Eduard, FERDOHLEB, Alexandru, CAZAC, Anatol, BUJOR, Sergiu, PRIPA, Valeriu, BALAN, Iulian. Aspectele de diagnostic al patologiei căii biliare principale pe fondal de malrotaţie duodenală asociată cu duodenostază. In: Analele Ştiinţifice ale USMF „N. Testemiţanu”, 2011, nr. 4(12), pp. 32-42. ISSN 1857-1719. |
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Analele Ştiinţifice ale USMF „N. Testemiţanu” | ||||||
Numărul 4(12) / 2011 / ISSN 1857-1719 | ||||||
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Pag. 32-42 | ||||||
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Rezumat | ||||||
The diagnostic aspects of the main biliary flow pathology in duodenal malrotation
with duodenostasis
This article is dedicated to the problem of chronic duodenal obstruction – actual problem of
diagnosis of duodenal malrotation as a main component of the pathology in
biliopancreatoduodenal region. In a group of patients although the biliary flow was reestablished
after endoscopic retrograde cholangiopancreatography, the biliary pathology persist manifested
through the clinical picture of transitory mechanical jaundice, chronic cholangitis and
choledocholytiasis. In a 5-15% cased the biliary pathology was reinstalated by the development
of duodeno-biliary reflux, on the background of duodenal malrotation (MRD) with
duodenostasis and insufficiency of papilla Vater. This research was carried out for a period of 11
years (1998-2009), including a number of 110 patients.All the patients underwent colecistectomy
and afterwards reinterventions on biliary tract including endoscopic retrograde
cholangiopancreatography (ERCP), endoscopic papillosfincterothomy (PSTE),
choledochoduodenoanastomosis (CDA) with choledocholitotomy (CLT). The diagnostical
algorithm included: clinical findings, biochemical tests, USG, gastroduodenography with
contrast, bilioscintigraphy, electrogastroenterography( EGEG), TC-RMN, ERCP. The
paraclinical investigations demonstrated the presence of duodenostasis and duodenal
malrotation, |
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