MORPHOLOGICAL CHANGES OF THE LIVER IN OBTURATION JAUNDICE, CAUSED BY CHOLEDOCHOLITHIASIS, DEPENDING ON ITS DURATION

• Published in: Klinična hìrurgìâ (Kiïv) no. 2; pp. 20 - 23
• Main Authors: Sipliviy, V A, Yevtushenko, D V, Naumova, O V, Andreyeshchev, S A, Yevtushenko, A V
• Format: Journal Article
• Language: Russian
• Published: Ukraine 01.02.2016
• Subjects: Bile - microbiology; Bile - secretion; Cholangitis - etiology; Cholangitis - microbiology; Cholangitis - pathology; Cholangitis - surgery; Choledocholithiasis - complications; Choledocholithiasis - microbiology; Choledocholithiasis - pathology; Choledocholithiasis - surgery; Common Bile Duct - microbiology; Common Bile Duct - pathology; Common Bile Duct - surgery; Escherichia coli - growth & development; Escherichia coli Infections - microbiology; Escherichia coli Infections - pathology; Escherichia coli Infections - surgery; Female; Hepatocytes - microbiology; Hepatocytes - pathology; Humans; Jaundice, Obstructive - etiology; Jaundice, Obstructive - microbiology; Jaundice, Obstructive - pathology; Jaundice, Obstructive - surgery; Liver - microbiology; Liver - pathology; Liver - surgery; Male; Pseudomonas aeruginosa - growth & development; Pseudomonas Infections - microbiology; Pseudomonas Infections - pathology; Pseudomonas Infections - surgery; Time Factors
• ISSN: 0023-2130

Abstract The results of surgical treatment of 184 patients for obturation jaundice, caused by choledocholithiasis, were analyzed. Morphological changes of the liver were studied in 20 patients. There were three groups of patients delineated, depending on the obturation jaundice duration: up to 7 days, from 8 to 14 days, more than 15 days, and also a group of patients after the bile outflow restoration. The obturation jaundice occurrence in choledocholithiasis is accompanied by significant morphological changes in the liver, severity of which is enhancing while the obturation jaundice persistence increasing. While persistence of obturation jaundice through 8 days and more the connective tissue volume is enhancing, a relative volume of hepatocytes is reducing and a stromal-parenchymatous index is increasing. The bile outflow restoration secures significant reduction of intensity of alterative and inflammatory changes in hepatic parenchyma, as well as activation of reparative processes in the tissue. In cholangitis, caused by P. aeruginosa and E. coli, according to morphological investigations data, in the liver a diffuse purulent cholangitis on background of chronic changes in accordance to duration of the obturation jaundice persists.