Treatment management in opisthorchosis papillitis

Abstract

OBJECTIVE. The author designed an optimal treatment strategy in patients with opisthorchosis papillitis complicated by development of cholangitis. MATERIAL AND METHODS. Retrospective analysis of treatment results of 384 patients with opisthorchosis lesions of bile ducts was made. The patients were divided into randomized groups associated with applied surgical approaches. RESULTS. There was revealed an advantage of staged method of surgery performance. Practicability of application of minimally invasive and organ-saving methods was shown in initial stages of disease. Clinical version of classification of opisthorchosis papillitis were presented. СONCLUSIONS. Treatment management of patients with opisthorchosis papillitis should be based on the process stage and it should be maximally organ-saving.

Keywords

• opisthorchosis
• papillitis
• endoretrogradecholangiopancreatography
• endoscopic dilatation of the papilla