DIAGNOSIS AND TREATMENT OF OBSTRUCTIVE CH OLANGITIS

The results of complex diagnosis and treatment in 237 patients with ob structive cholangitis are discussed. On basis of the analysis of the o btained data the therapeutic measures were undertaken in two stages: e mergency endoscopic decompression of the biliary tract was carried out at the peak of the clinical manifestations, whereas final correction of the obstruction, if necessary, was performed after removal of infec tion in the bile ducts, complete relief of endogenic intoxication, and normalization of hepatic function. Such therapeutic tactics reduced a cute cholangitis mortality to 5,5 %.