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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Kazan medical journal</journal-id><journal-title-group><journal-title xml:lang="en">Kazan medical journal</journal-title><trans-title-group xml:lang="ru"><trans-title>Казанский медицинский журнал</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0368-4814</issn><issn publication-format="electronic">2587-9359</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">61236</article-id><article-id pub-id-type="doi">10.17816/kazmj61236</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Is a diagnostic laparotomy warranted to establish the cause of jaundice?</article-title><trans-title-group xml:lang="ru"><trans-title>Оправдана ли диагностическая лапаротомия в целях установления причины желтухи?</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Yakovlev</surname><given-names>A. Y.</given-names></name><name xml:lang="ru"><surname>Яковлев</surname><given-names>А. Я.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Doctor of Medical Sciences, Hospital Surgery Clinic</p></bio><bio xml:lang="ru"><p>Доктор медицинских наук, клиника госпитальной хирургии </p></bio><email>info@eco-vector.com</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Leskin</surname><given-names>A. S.</given-names></name><name xml:lang="ru"><surname>Лескин</surname><given-names>А. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Hospital Surgery Clinic</p></bio><bio xml:lang="ru"><p>Клиника госпитальной хирургии</p></bio><email>info@eco-vector.com</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Gegenava</surname><given-names>A. P.</given-names></name><name xml:lang="ru"><surname>Гегенава</surname><given-names>А. П.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Hospital Surgery Clinic</p></bio><bio xml:lang="ru"><p>Клиника госпитальной хирургии</p></bio><email>info@eco-vector.com</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Rudik</surname><given-names>B. G.</given-names></name><name xml:lang="ru"><surname>Рудик</surname><given-names>Б. Г.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Hospital Surgery Clinic</p></bio><bio xml:lang="ru"><p>Клиника госпитальной хирургии</p></bio><email>info@eco-vector.com</email><xref ref-type="aff" rid="aff4"/><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Kuibyshev Medical Institute named after D. I. Ulyanova</institution></aff><aff><institution xml:lang="ru">Куйбышевский медицинский институт им. Д. И. Ульянова</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Kuibyshev Regional Hospital named after M. I. Kalinina</institution></aff><aff><institution xml:lang="ru">Куйбышевская областная больница им. М. И. Калинина</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Chapaevsk city hospital</institution></aff><aff><institution xml:lang="ru">Чапаевская городская больница</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Kuibyshev Medical Institute named after D. I. Ulyanova</institution></aff><aff><institution xml:lang="ru">Куйбышевский медицинский институт им. Д. И. Ульянова, Клиника госпитальной хирургии</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="1978-04-15" publication-format="electronic"><day>15</day><month>04</month><year>1978</year></pub-date><volume>59</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>22</fpage><lpage>24</lpage><history><date date-type="received" iso-8601-date="2021-02-18"><day>18</day><month>02</month><year>2021</year></date><date date-type="accepted" iso-8601-date="2021-02-18"><day>18</day><month>02</month><year>2021</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 1978, Yakovlev A.Y., Leskin A.S., Gegenava A.P., Rudik B.G.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 1978, Яковлев А.Я., Лескин А.С., Гегенава А.П., Рудик Б.Г.</copyright-statement><copyright-year>1978</copyright-year><copyright-holder xml:lang="en">Yakovlev A.Y., Leskin A.S., Gegenava A.P., Rudik B.G.</copyright-holder><copyright-holder xml:lang="ru">Яковлев А.Я., Лескин А.С., Гегенава А.П., Рудик Б.Г.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">http://creativecommons.org/licenses/by-nc-sa/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://kazanmedjournal.ru/kazanmedj/article/view/61236">https://kazanmedjournal.ru/kazanmedj/article/view/61236</self-uri><abstract xml:lang="en"><p>According to the authors, in order to establish the cause of jaundice, if the conservative treatment is ineffective, diagnostic laparotomy with revision of the biliary tract is justified. Such an intervention, even in those suffering from Botkin's disease, as shown by observations (12), does not cause dangerous complications. It can contribute to a more favorable course of the underlying disease.</p></abstract><trans-abstract xml:lang="ru"><p>По мнению авторов, в целях установления причины желтухи, если проводимое консервативное лечение неэффективно, оправданна диагностическая лапаротомия с ревизией желчных путей. Подобное вмешательство даже у страдающих болезнью Боткина, как показали наблюдения (12), не вызывает опасных осложнений. Оно может способствовать более благоприятному течению основного заболевания.</p></trans-abstract><kwd-group xml:lang="en"><kwd>Kazan Medical archive</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>Казанский медицинский архив</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Беккерман Ш. И. 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