@article{Mamontov_2019, title={SCORE SYSTEM FOR ERCP INDICATING IN EXTRAHEPATIC BILE DUCT OBSTRUCTION}, url={https://surgical-school.com.ua/index.php/journal/article/view/5}, DOI={10.37699/2308-7005.3-4.2019.02}, abstractNote={<p><strong>Abstracts. Aim: </strong>to objectify indications for urgent/emergency ERCP in patients with extrahepatic biliary tract obstruction (EBTO) by using the score system</p> <p><strong>Matherials and Methods. </strong>The score is used by summing the points: hyperthermia ≥ 37.3 ° C (1 point); one of three hematological points — leukocytosis ≥ 9×10<sup>9</sup>/l or stab neutrophils ≥ 7% or the ratio of the number of segmented and stab neutrophils &lt;10 (1 point); two biochemical — serum bilirubin ≥ 70 μmol / l (1 point), hyperamylasemia (1 point); thickening of the gallbladder wall ≥ 4 mm or shrunken gallbladder (1 point); the main pancreatic duct dilatation (1 point); in the presence of a periampular tumor or signs of chronic pancreatitis, one point is subtracted (- 1 point).</p> <p>The scale was tested on 171 patients with EBTO.</p> <p><strong>Results. </strong>The threshold value of the scale was ≥3 points (p &lt;0.001). The number of points (3, ≥4) correlated with the severity of acute cholangitis and acute biliary pancreatitis (p &lt;0.01).</p> <p><strong>Conclusions. </strong>In patients with confirmed OEDB in case of ≤2 points of the score system — urgent/emergency ERCP is not indicated; in case of ≥3 points — urgent ERCP is indicated; in case of ≥4 points emergency ERCP should be performed.</p&gt;}, number={3-4}, journal={Kharkiv Surgical School}, author={Mamontov, I. N.}, year={2019}, month={Dec.}, pages={12-17} }