Peculiarities of clinical manifestations of opisthorchosis papillitis

• Main Authors: S. V. Onishchenko, V. V. Darvin
• Format: Article
• Language: Russian
• Published: Pavlov First Saint Petersburg State Medical University 2017-10-01
• Series: Вестник хирургии имени И.И. Грекова
• Subjects: opisthorchosis; papillitis; stages of papillitis; stenosis of major duodenal papilla; cholangitis
• Online Access: https://www.vestnik-grekova.ru/jour/article/view/403

OBJECTIVE. The study identified peculiarities of clinical manifestations of opisthorchosis papillitis depending on the stage of disease. MATERIAL AND METHODS. Features of diagnostics were based on analysis of medical data of 384 patients with opisthorchosis papillitis. There were investigated and statistically processed 23 clinical signs, 9 laboratory indices and data of 9 methods of instrumental diagnostics. RESULTS. Generalized and isolated analyses of signs allowed doctors to determine their diagnostic significance. The instrumental methods of diagnostics gave an opportunity to reveal this pathology in contrast to data of clinical manifestations. The inner diameter of major duodenum papilla was used in order to determine the stage of opisthorchosis papillitis. CONCLUSIONS. Specific clinic-laboratory signs for papillitis indication weren’t found. The most preferable instrumental method of diagnostics appeared to be the endo-ultrasound investigation, which gave a possibility to visualize lumen and walls of papilla and perform a needle biopsy of its deep structures.