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Updated: Feb 28, 2026
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
[SELECTION OF MINI-INVASIVE PALLIATIVE DECOMPRESSION METHOD IN PATIENTS WITH MALIGNANT OBSTRUCTION OF BILIARY DUCTS
M Bykov1, R Sepiashvili1, V Shchava1
11Kuban state medical university, Krasnodar, Russia; 2Scientific research institute of the Ochapovsky regional clinic of the ministry of Public health of Russia, Krasnodar, Russia; 3Peopels Friendship University of Russia,(RUDN University), Moscow, Russia.
Abstract:
The article gives our own experience in the determination and study of additional laboratory criteria (total lipids, cholesterol, maximum and area chemiluminescence, antioxidant activity) at the local level (in bile) in patients with bile duct obstruction of malignant etiology. Constellation of metabolic disorders allowed to propose an original method for determining the lithogenicity of bile (integral indicator of lithogenicity). The obtained data made it possible to justify the need to assess the degree of metabolic disturbances in bile, on the basis of which it is possible to predict the risk of lithogenesis and the duration of stent operation, which in turn helped optimize the algorithm for choosing the method of bile ducts decompression aimed at preventing early obturation of endoprostheses.
