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  • 10 -7 (69) 2024 - Abidov U.O., Urokov Sh.T. - THERAPEUTIC TACTICS FOR LONG - TERM MECHANICAL JAUNDICE SYNDROME OF BENIGN ETIOLOGY

10 -7 (69) 2024 - Abidov U.O., Urokov Sh.T. - THERAPEUTIC TACTICS FOR LONG - TERM MECHANICAL JAUNDICE SYNDROME OF BENIGN ETIOLOGY

THERAPEUTIC TACTICS FOR LONG - TERM MECHANICAL JAUNDICE SYNDROME OF BENIGN ETIOLOGY

Abidov U.O. - Bukhara State Medical Institute named after Abu Ali ibn Sina, Bukhara branch of the Republican Scientific Center for Emergency Medical Care Uzbekistan

Urokov Sh.T. - Bukhara State Medical Institute named after Abu Ali ibn Sina, Bukhara branch of the Republican Scientific Center for Emergency Medical Care Uzbekistan

Boltayev N.R. - Bukhara State Medical Institute named after Abu Ali ibn Sina, Bukhara branch of the Republican Scientific Center for Emergency Medical Care Uzbekistan

Resume

112 patients were monitored and treated. The patients were divided into three groups: the control group consisted of 46 patients, retrospective patients who underwent endoscopic decompression and standard conservative therapy, and the main group of 66 patients, prospective patients who underwent endoscopic decompression nasobiliary drainage (NZBD), early plasmapheresis (ePF), glutathione and remaxol preparations. After studying the complications in the retrospective group and analyzing the complications, a new algorithm was used to treat patients with prolonged mechanical jaundice of benign etiology. Remaxol and glutathione preparations were used to treat these patients before and after the decompression period. After endoscopic decompression, stenting, NZBD and ePF were performed in order to prevent "rapid decompression" syndrome, "reperfusion" syndrome and progression of PN. Some patients of the main group of patients underwent stenting and ePF, some patients underwent NZBD with ePF, and some patients underwent stenting without ePF. The best treatment results were obtained with combined NZBD with ePF and with the use of remaxol and glutathione preparations.

Keywords: prolonged mechanical jaundice, "rapid decompression", NZBD, ePF.

First page

62

Last page

69

For citation:Abidov U.O., Urokov Sh.T., Boltayev N.R. - THERAPEUTIC TACTICS FOR LONG - TERM MECHANICAL JAUNDICE SYNDROME OF BENIGN ETIOLOGY//New Day in Medicine 7(69)2024 62-69 https://newdayworldmedicine.com/en/new_day_medicine/7-69-2024

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