Problems of modern diagnostics of choledocholithiasis

The aim of review. To discuss issues of diagnostics of choledocholithiasis at the present time.Original positions. The relevance of early recognition of choledocholithiasis is determined by high frequency at patients with cholelithiasis and risk of development of life-threatening complications. Diag...

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Main Authors: S. G. Shapoval’yants, T. B. Ardasenov, D. A. Freydovich, A. G. Mylnikov, A. G. Pan’kov, S. A. Budzinsky, A. A. Nikonov
Format: Article
Language:Russian
Published: Gastro LLC 2011-03-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1386
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author S. G. Shapoval’yants
T. B. Ardasenov
D. A. Freydovich
A. G. Mylnikov
A. G. Pan’kov
S. A. Budzinsky
A. A. Nikonov
author_facet S. G. Shapoval’yants
T. B. Ardasenov
D. A. Freydovich
A. G. Mylnikov
A. G. Pan’kov
S. A. Budzinsky
A. A. Nikonov
author_sort S. G. Shapoval’yants
collection DOAJ
description The aim of review. To discuss issues of diagnostics of choledocholithiasis at the present time.Original positions. The relevance of early recognition of choledocholithiasis is determined by high frequency at patients with cholelithiasis and risk of development of life-threatening complications. Diagnostics of choledocholithiasis is based on clinical data, laboratory and instrumental tests. Instrumental methods of investigation differ by their information value and invasiveness. So, it is important to define prognostic criteria (clinical, biochemical and ultrasound), determining necessity of additional more invasive and expensive investigation of bile ducts. However estimation of diagnostic criteria suggested by different authors and their threshold values is ambiguous. Discordant opinions frequently lead both to underestimation of the role of clinical and laboratory data, and to unjustified application of invasive diagnostic methods.Conclusion. Further studies are necessary to develop more rational and objective systems of diagnostics of choledocholithiasis.
format Article
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institution Kabale University
issn 1382-4376
2658-6673
language Russian
publishDate 2011-03-01
publisher Gastro LLC
record_format Article
series Российский журнал гастроэнтерологии, гепатологии, колопроктологии
spelling doaj-art-24f1eebe6de6497c9dae0d761b67c7382025-02-10T16:14:31ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732011-03-012122229940Problems of modern diagnostics of choledocholithiasisS. G. Shapoval’yantsT. B. ArdasenovD. A. FreydovichA. G. MylnikovA. G. Pan’kovS. A. BudzinskyA. A. NikonovThe aim of review. To discuss issues of diagnostics of choledocholithiasis at the present time.Original positions. The relevance of early recognition of choledocholithiasis is determined by high frequency at patients with cholelithiasis and risk of development of life-threatening complications. Diagnostics of choledocholithiasis is based on clinical data, laboratory and instrumental tests. Instrumental methods of investigation differ by their information value and invasiveness. So, it is important to define prognostic criteria (clinical, biochemical and ultrasound), determining necessity of additional more invasive and expensive investigation of bile ducts. However estimation of diagnostic criteria suggested by different authors and their threshold values is ambiguous. Discordant opinions frequently lead both to underestimation of the role of clinical and laboratory data, and to unjustified application of invasive diagnostic methods.Conclusion. Further studies are necessary to develop more rational and objective systems of diagnostics of choledocholithiasis.https://www.gastro-j.ru/jour/article/view/1386choledocholithiasisobstructive jaundicerisk factors of choledocholithiasis
spellingShingle S. G. Shapoval’yants
T. B. Ardasenov
D. A. Freydovich
A. G. Mylnikov
A. G. Pan’kov
S. A. Budzinsky
A. A. Nikonov
Problems of modern diagnostics of choledocholithiasis
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
choledocholithiasis
obstructive jaundice
risk factors of choledocholithiasis
title Problems of modern diagnostics of choledocholithiasis
title_full Problems of modern diagnostics of choledocholithiasis
title_fullStr Problems of modern diagnostics of choledocholithiasis
title_full_unstemmed Problems of modern diagnostics of choledocholithiasis
title_short Problems of modern diagnostics of choledocholithiasis
title_sort problems of modern diagnostics of choledocholithiasis
topic choledocholithiasis
obstructive jaundice
risk factors of choledocholithiasis
url https://www.gastro-j.ru/jour/article/view/1386
work_keys_str_mv AT sgshapovalyants problemsofmoderndiagnosticsofcholedocholithiasis
AT tbardasenov problemsofmoderndiagnosticsofcholedocholithiasis
AT dafreydovich problemsofmoderndiagnosticsofcholedocholithiasis
AT agmylnikov problemsofmoderndiagnosticsofcholedocholithiasis
AT agpankov problemsofmoderndiagnosticsofcholedocholithiasis
AT sabudzinsky problemsofmoderndiagnosticsofcholedocholithiasis
AT aanikonov problemsofmoderndiagnosticsofcholedocholithiasis