Subject(s)
Peptic Ulcer Perforation/diagnosis , Peptic Ulcer Perforation/surgery , Peptic Ulcer/surgery , Aged , Disease Management , Exudates and Transudates/metabolism , Humans , Male , Peptic Ulcer/diagnostic imaging , Peptic Ulcer/pathology , Peptic Ulcer Perforation/diagnostic imaging , Peptic Ulcer Perforation/pathology , RadiographyABSTRACT
Results of diagnosis and treatment of 21 patients, suffering Mirizzi syndrome (MS), were analyzed. Informativity of ultrasound investigation and endoscopic retrograde cholangiopancreatography in diagnosis of MS types I and II was presented. The first stage of treatment consisted of endoscopic interventions lithotripsy with lithoextraction, the biliary ducts stenting, nasobiliary drainage. In 14.3% of patients surgical treatment was not necessary after endoscopic interventions. Variants of surgical treatment for MS were analyzed. In MS type I in 5 patients cholecystectomy was performed, and for type II partial cholecystectomy with biliary ducts plasty in 11, cholecystofistulolithotomy in 2, hepaticojejunostomy in 1.
