Open AccessPATHOMORPHOLOGICAL STRUCTURE OF INTRAHEPATIC DUCTS AND CHOLEDOCH IN PATIENTS WITH ACUTE AND CHRONIC CHOLANGITIS.
Author(s) -
O. V. Maloshtan,
A. O. Nekliudov,
R. M. Smachylo,
A. M. Tyschenko,
М. О. Кlyosova,
O.V. Volchenko
Publication year - 2019
Publication title -
harkìvsʹka hìrurgìčna škola
Language(s) - English
Resource type - Journals
ISSN - 2308-7005
DOI - 10.37699/2308-7005.5-6.2019.07
Subject(s) - medicine , cholestasis , gastroenterology , connective tissue , bile duct , intrahepatic bile ducts , edema , complication , biliary cirrhosis , cirrhosis , bile duct diseases , pathology , disease , autoimmune disease
. The morphological status of bile duct cells was studied in patients with acute and chronic cholangitis at different terms of the disease.All patients (32) were divided into 4 groups: up to 5 days, 12-14 days, 28-30 days and 10-12 months. The control group included 12 patients without clinical manifestations of choledocholithiasis. Acute cholestasis is registered in the intrahepatic bile ducts, the maximal severity of which is on first two weeks. In the period of 28-30 days the residual phenomena of acute cholangitis and the growth of connective tissue in the duct walls and around them are registered. In patients with cholangitis, the largest changes in the wall of the choledochus are recorded in 3-5 days from the onset of the disease in the form of edema-desquamative and epithelium necrosis. On 12-14 days marked "attenuation" and demarcation of the inflammatory process, and on 28-30 there’s the appearance of connective tissue in the wall of the choledoch. Patients operated on for chronic recurrent cholangitis for 1 year are documented on the background of the development of choledoch stricture, cholestasis, cholangiosclerosis, and biliary cirrhosis, as a complication.