Abstract:

Purpose: Managing the emergency lock is quite complicated. It is important to choose the appropriate visualization methods for the distinctive diagnosis of a number of reasons. Providing proper knowledge of drainage is important in the patient’s stabilization, our purpose in this study is to reveal the practical points in diagnosis and treatment. Method: 173 patients, clinical, laboratory, visualization and knowledge drenage methods, which were analyzed retrospectively in the context of emergency storage, considering the surgical causes. The average age was 57.2 and 105 (60.7%) were women and 68 (39.3) were men. USG is done to all patients. 91 (52.6%) of patients were withdrawn to BT in an emergency. The correct diagnosis orientation of these two examinations was respectively 56.6% and 61.5%. Additional visualization methods for patients taken to the general surgical service alone in MRCP 93.8%, in MR-MRCP 91.6%, in BT and MR-MRCP together 94.5%, and in EUS 96%. The benign causes of closure are 78%, the most frequent coledokolithiasis (54.9%), the malign causes are the remaining 22% and the most frequent pancreatic tumor (12.7%). The first viewing method to be done after USG is MRCP. There are a lot of unnecessary inspections. EUS increases its importance and is the highest diagnosis method. The choice of PTK or ERCP for drainage is important for the course.

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