Differential mechanical jaundices in ultrasonic diagnosis of parasitic liver problems

Abstract

Проведен сравнительный анализ изменений билиарной системы у 565 пациентов, прооперированных в гепатологическом центре г. Томска, с альвеококкозом, эхинококкозом, хроническим описторхозом, осложненными механической желтухой. Определены три уровня окклюзии и соответствующие виды расширения желчных протоков в зависимости от вовлечения в процесс анатомических структур желчевыводящей системы печени. Выявлены и представлены дифференциальноотличительные ультразвуковые критерии билиарной гипертензии при паразитарных поражениях печени, что позволит повысить эффективность ультразвуковой диагностики данной патологии, выбрать адекватный способ хирургической коррекции и улучшить результаты лечения.Ключевые слова: альвеококкоз, эхинококкоз, описторхоз, билиарная гипертензия, расширение желчных протоков, механическая желтуха.The comparative analysis of the changes of biliary system in 565 patients with alveolar Hydatid disease, hydatidosis, chronic opisthorchiasis, complicated by chronic obstructive jaundice operated in the Hepatology Center of Tomsk. Three levels of occlusion and the enlargement of the bile duct, depending on the involvement of anatomical structures of liver gall ways are Identifies. Differential-distinctive ultrasound criteria biliary hypertension with the parasitic liver problems are identified and presented, that will increase the efficiency of ultrasonic diagnosis of this pathology, choose an appropriate method of surgical correction and improve patient outcomes.

Worldwide literature on epidemiology of human alveolar echinococcosis: a systematic review of research published in the twenty-first century

“…In Belarus, there were five case reports described in Grodno, a city in the border area to Poland and Lithuania [ 64 ], and one post-mortem diagnosis out of Gomel Oblast [ 65 ]. From Russia, the highest figure of 42 AE cases was reported in Tomsk Oblast until 2012 [ 66 ]. Literature focussing on human AE cases in Ukraine could not be found.…”

“…Despite some high estimated figures of more than 1000 new cases annually [ 5 ], there is a distinct lack of data from Russia. Besides numerous single-centre studies with preselected study groups undergoing surgery, epidemiological data could only be found from Moscow [ 94 , 95 ], the south of the Volga and Ural Federal Districts (neighbouring Republic of Bashkortostan and Chelyabinsk Oblast) [ 96 , 97 ], the southwest of Siberia Federal District (Tomsk Oblast, Altai Krai) [ 66 , 98 ] and the Far East Sakha Republic and the peninsula of Kamchatka [ 99 , 100 ]. Nevertheless, the official registry of the Russian federal agency Rospotrebnadzor reported higher figures in 2008 (41 cases) than in 2001 (30 cases) [ 13 , 98 ].…”

“…Gołąb [ n/a n/a n/a n/a n/a n/a + Šnábel [59] Russia Kamchatka Krai d 9 n/a-2008 n/a + + n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a Konyaev [98] Altai Krai d 8 2008 R n/a n/a n/a n/a n/a n/a n/a Konyaev [98] Tomsk Oblast d 42 n/a-2012 n/a + + + + n/a n/a Kuracheva [66] 30 2001 R n/a n/a n/a n/a n/a n/a n/a Konyaev [13] Moscow 1…”