Резолюция Экспертного совета «Диагностика и лечение больных со сладжем в желчном пузыре»
Aim of publication. To present the data of Advisory council which took place on August 19, 2016 in Poland (Krakow) with the participation of Adamed Russia company. Summary. Advisory council activity provided the algorithm of diagnosis and treatment of biliary sludge. At detection of gallbladder slud...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Gastro LLC
2018-08-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| Online Access: | https://www.gastro-j.ru/jour/article/view/104 |
| _version_ | 1797245238177169408 |
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| author | V. T. Ivashkin Alexey V. Okhlobystin Dmitry S. Bordin M. F. Osipenko E. Ya. Seleznyova Yu. O. Shulpekova S. R. Abdulkhakov O. P. Alexseyeva I. G. Bakulin L. G. Vologjhanina V. B. Grinevich N. V. Bakulina T. A. Kolesova N. V. Korochanskaya I. V. Putintseva A. S. Sarsenbayeva N. S. Yazenok |
| author_facet | V. T. Ivashkin Alexey V. Okhlobystin Dmitry S. Bordin M. F. Osipenko E. Ya. Seleznyova Yu. O. Shulpekova S. R. Abdulkhakov O. P. Alexseyeva I. G. Bakulin L. G. Vologjhanina V. B. Grinevich N. V. Bakulina T. A. Kolesova N. V. Korochanskaya I. V. Putintseva A. S. Sarsenbayeva N. S. Yazenok |
| author_sort | V. T. Ivashkin |
| collection | DOAJ |
| description | Aim of publication. To present the data of Advisory council which took place on August 19, 2016 in Poland (Krakow) with the participation of Adamed Russia company. Summary. Advisory council activity provided the algorithm of diagnosis and treatment of biliary sludge. At detection of gallbladder sludge in a patient with right hypochondrial pain it is necessary to carry out general examination to rule out the other diseases that may be dangerous (neoplastic, acute cholecystitis, pancreatitis). In the absence of other changes, besides biliary sludge, prescription of initial course of hymecromone combined to ursodeoxycholic acid (UDCA) is indicated. In the case of clinical improvement at primary therapy course it is necessary to continue UDCA treatment for 3 months. Primary treatment course that should include combination of hymecromone and UDCA is indicated for those patients with asymptomatic sludge, who have putty-like bile in the gallbladder or bile ducts. In the case over the other forms of asymptomatic sludge usually only diet limitations and follow up (abdominal US every six months) are indicated. At detection of the ultrasound signs, typical for chronic pancreatitis, according to the Cambridge diagnostic criteria, verification of the diagnosis by multidetector computer tomography according to the pancreatic protocol is mandatory. Selective antispasmodic medications (e.g. hymecromone) will be one of the basic pharmaceutical agents in this case, indications to endoscopic treatment should be evaluated, typically - by means of endoscopic ultrasound investigation). Conclusions. At of patient with the biliary sludge selective antispasmodic medications and UDCA should be widely applied, in some cases methods of endoscopic surgery as well. |
| first_indexed | 2024-03-08T09:21:41Z |
| format | Article |
| id | doaj.art-09b645b41ab049c7ad8daeb2b224f9b4 |
| institution | Directory Open Access Journal |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| last_indexed | 2024-04-24T19:23:43Z |
| publishDate | 2018-08-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj.art-09b645b41ab049c7ad8daeb2b224f9b42024-03-25T16:53:06ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732018-08-0126612713410.22416/1382-4376-2016-6-127-134104Резолюция Экспертного совета «Диагностика и лечение больных со сладжем в желчном пузыре»V. T. Ivashkin0Alexey V. Okhlobystin1Dmitry S. Bordin2M. F. Osipenko3E. Ya. Seleznyova4Yu. O. Shulpekova5S. R. Abdulkhakov6O. P. Alexseyeva7I. G. Bakulin8L. G. Vologjhanina9V. B. Grinevich10N. V. Bakulina11T. A. Kolesova12N. V. Korochanskaya13I. V. Putintseva14A. S. Sarsenbayeva15N. S. Yazenok16Federal state educational government-financed institution of higher education «Sechenov First Moscow state medical university»Federal state educational government-financed institution of higher education «Sechenov First Moscow state medical university»Federal government-financed healthcare institution «Moscow clinical scientific and practical center (MCSPC)»State educational government-financed institution of higher professional education «Novosibirsk state medical university»Federal government-financed healthcare institution «Moscow clinical scientific and practical center (MCSPC)»Federal state educational government-financed institution of higher education «Sechenov First Moscow state medical university»Institute of fundamental medicine and biology of the Kazan (Privolgsky) federal universityMilitary-medical institute of federal security service of the Russian FederationState educational government-financed institution of higher professional education «Mechnikov North-Western State Medical University»State educational government-financed institution of higher professional education «Wagner Perm state medical academy»Kirov military medical academyState educational government-financed institution of higher professional education «Mechnikov North-Western State Medical University»Seredavin Samara regional clinical hospitalFederal government-financed healthcare institution «Regional hospital No. 2»State government-financed institution of higher education Voyno-Yasenetsky Krasnoyarsk State Medical UniversityState educational government-financed institution of higher professional education «Southern Ural state medical university»federal government-financed healthcare institution of Samara region «Samara Kirov district occupational health facility No. 5»Aim of publication. To present the data of Advisory council which took place on August 19, 2016 in Poland (Krakow) with the participation of Adamed Russia company. Summary. Advisory council activity provided the algorithm of diagnosis and treatment of biliary sludge. At detection of gallbladder sludge in a patient with right hypochondrial pain it is necessary to carry out general examination to rule out the other diseases that may be dangerous (neoplastic, acute cholecystitis, pancreatitis). In the absence of other changes, besides biliary sludge, prescription of initial course of hymecromone combined to ursodeoxycholic acid (UDCA) is indicated. In the case of clinical improvement at primary therapy course it is necessary to continue UDCA treatment for 3 months. Primary treatment course that should include combination of hymecromone and UDCA is indicated for those patients with asymptomatic sludge, who have putty-like bile in the gallbladder or bile ducts. In the case over the other forms of asymptomatic sludge usually only diet limitations and follow up (abdominal US every six months) are indicated. At detection of the ultrasound signs, typical for chronic pancreatitis, according to the Cambridge diagnostic criteria, verification of the diagnosis by multidetector computer tomography according to the pancreatic protocol is mandatory. Selective antispasmodic medications (e.g. hymecromone) will be one of the basic pharmaceutical agents in this case, indications to endoscopic treatment should be evaluated, typically - by means of endoscopic ultrasound investigation). Conclusions. At of patient with the biliary sludge selective antispasmodic medications and UDCA should be widely applied, in some cases methods of endoscopic surgery as well.https://www.gastro-j.ru/jour/article/view/104 |
| spellingShingle | V. T. Ivashkin Alexey V. Okhlobystin Dmitry S. Bordin M. F. Osipenko E. Ya. Seleznyova Yu. O. Shulpekova S. R. Abdulkhakov O. P. Alexseyeva I. G. Bakulin L. G. Vologjhanina V. B. Grinevich N. V. Bakulina T. A. Kolesova N. V. Korochanskaya I. V. Putintseva A. S. Sarsenbayeva N. S. Yazenok Резолюция Экспертного совета «Диагностика и лечение больных со сладжем в желчном пузыре» Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| title | Резолюция Экспертного совета «Диагностика и лечение больных со сладжем в желчном пузыре» |
| title_full | Резолюция Экспертного совета «Диагностика и лечение больных со сладжем в желчном пузыре» |
| title_fullStr | Резолюция Экспертного совета «Диагностика и лечение больных со сладжем в желчном пузыре» |
| title_full_unstemmed | Резолюция Экспертного совета «Диагностика и лечение больных со сладжем в желчном пузыре» |
| title_short | Резолюция Экспертного совета «Диагностика и лечение больных со сладжем в желчном пузыре» |
| title_sort | резолюция экспертного совета диагностика и лечение больных со сладжем в желчном пузыре |
| url | https://www.gastro-j.ru/jour/article/view/104 |
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