Endoscopic treatment methods for cholangitis are indicated in the event of conservative therapy failure and upon severe biliary patency disorders. Over 90% patients who underwent endoscopic treatment in European clinics have received a favorable long-term outcome.
The indications for endoscopic treatment are determined based on the general clinical data and special tests:
- case history;
- complete blood count and urinalysis;
- biochemical blood analysis;
- abdominal ultrasound;
Endoscopic treatment of cholangitis is combined with its diagnostics. Medical procedures are performed under anesthesia within endosonography. The endoscope is inserted through the patient's mouth and is pushed into the duodenum, where the condition of the large duodenal papilla, where the bile duct is opened, is examined using a special ultrasound device.
Depending on the identified pathology, the bile duct patency is restored in two ways:
- duct stenting: stent installation for artificial duct expansion;
- by papillosphincterotomy: dissection of the major duodenal papilla electrosurgically.
After the procedure, the patient is monitored by the attending physician and receives palliative care. The treatment efficiency is monitored by re-endoscopy. In most cases, the patient stays in the clinic full-time for 9 days. The cost of required medication varies depending on the clinic and pathological process.
The patient is discharged from the hospital with detailed recommendations on nutrition, further observation and treatment.