[Enteral nutrition in the complex treatment of patients with mechanical jaundice in gallstone disease].

The article summarizes the results of the examination and treatment of 99 patients with mechanical jaundice (MJ) related to gallstone disease (GSD). The patients were distributed into three groups according to three degrees of the dysfunction of the greater duodenal papilla (GDP) sphincter. Group 1 consisted of 52 patients with transitory MJ (degree I), Group 2 consisted of 32 patients with stable MJ remaining after coping with the pain attack (degree II), and Group 3 consisted of 15 patients with MJ and cholangitis (degree III). Trophic status disturbances and the effects of balanced clinical nutrition on the results of surgical treatment were assessed in all the patients. The severity and duration of jaundice were found to influence the severity of trophic changes. Clinical nutrition (sipping and enteral tube feeding) favored survival after papilla-sparing surgery in patients with MJ related to gallstone disease.