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ACUTE AND CHRONIC CHOLANGITIS: PATHOPHYSIOLOGY, CLINIC, SURGICAL TACTICS

Summary. Aim of the study: Based on new knowledge about the course of acute and chronic cholangitis in patients with obstructive lesions of the bile ducts to improve the results of diagnosis and treatment, using improved algorithms and new minimally invasive technologies. 
Materials and methods. 200 patients with acute and chronic cholangitis were selected. There were 93 men — 107 men, the age of patients ranged from 25 to 79 years, the average age was (61,8 ± 2,4) years. 
Results and discussion. Reconstructive surgery for choledochal strictures should be performed if the patient’s condition allows as early as possible (preferably within 3–4 weeks after symptomatic minimally invasive biliary tree decompression) to prevent the development of irreversible cirrhotic changes in the liver parenchyma. 
Conclusions. Minimally invasive interventions are effective both in the treatment of cholangitis due to intraductal causes, where they are the ultimate treatment, and as a first-line method of preparation for major radical intervention in severe anatomical changes in the biliary system.