The retrograde endoscopical and percutaneus antegrade interventional on the bile ducts in patients with mechanical jaundice
Study presents a comparative analysis of the effectiveness of retrograde and antegrade biliary interventional technologies in 429 patients with different pathology of hepatopankreatobiliary zone assotiated with mechanical jaundice. In the first group included 304 patients endoscopical approach was used.The second group of 125 patients was treated by percutaneus antegrade technology. The ideology of both technologies includes a sequence of diagnostic and medical exposure. Complications after endoscopical manipulation are noted in 9.2% of observations and percutaneus technology - 8.8%. Percutaneus antegrade technology in majority of the cases can achieve temporary biliari decompression. However, the retrograde endoscopic technologies have great potential to treat obstruction.