MANAGEMENT OF TUMOUR OBSTRUCTIONS OF DISTAL PART OF COMMON BILE DUCT USING RETROGRADE BILIARY STENTING

The aim of this study is to improve endobiliary stenting in patients with tumour obstruction the distal part common bile duct, as well promote prevention complications, and immediate results treatment quality life patients.
 included 68 who took course at surgical hospitals from 2018 2022 underwent endoscopic transpapillary duct for mechanical jaundice. In 37 patients, was performed using a plastic stent, 31 nitinol stent. Results stenting, effectiveness safety were evaluated.
 All stening duct. During retrograde biliary only 5 had complications form bleeding area large duodenal papilla that stopped endoscopically. early postoperative period, 12 following complications: migration stent into duodenum (3 cases), obturation (1 case), acute secondary pancreatitis (6 cholangitis (2 cases). 64 out provided satisfactory outcomes resulting decompression external ducts.
 Endoscopic low-traumatic, safe effective method tract when it obstructed by tumour. Depending on expected expectancy we should use stents (≥ 6 months) or one (of ≤ months).