Treatment Options for Patients with Gallstones (Cholelithiasis)
According to the Recommendations of the Scientific society of gastroenterologists of Russia for the diagnosis and treatment of cholelithiasis (GI), GI is a multifactorial disease of the hepatobiliary system and one of the most common diseases of the digestive system. It is known that in the vast maj...
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| Format: | Article |
| Language: | Russian |
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Remedium Group LLC
2019-10-01
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| Series: | Медицинский совет |
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| Online Access: | https://www.med-sovet.pro/jour/article/view/4197 |
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| author | P. V. Seliverstov T. E. Skvortsova S. I. Sitkin V. G. Radchenko |
| author_facet | P. V. Seliverstov T. E. Skvortsova S. I. Sitkin V. G. Radchenko |
| author_sort | P. V. Seliverstov |
| collection | DOAJ |
| description | According to the Recommendations of the Scientific society of gastroenterologists of Russia for the diagnosis and treatment of cholelithiasis (GI), GI is a multifactorial disease of the hepatobiliary system and one of the most common diseases of the digestive system. It is known that in the vast majority of cases, GI develops as a result of the complex influence of many risk factors. Thus, the change in the qualitative and quantitative composition of bile, as well as a history of gastrectomy, papillosphincterotomy, the right-hand hemicolectomy, cholesterosis gall bladder, chronic hepatitis, peptic ulcer of the duodenum, duodenostasis contributes to the reduction of the contractile function of the gallbladder and the development of hypertonicity of the sphincter of Oddi. Current understanding of mechanisms of formation of gallstones is based on many studies, which proved that the GSD is a result of destabilized bile-damaged hepatocytes, the subsequent nucleation of crystals of monohydrate of cholesterol crystallization in the mucin matrix on the background of hypomotor dysfunction of the gall bladder. After anamnesis and General clinical examination, the main diagnostic method for suspected gastrointestinal tract is ultrasound (ultrasound). However, differentiation of stone types by ultrasound is generally not possible. The most modern diagnostic method is CT with an assessment of the density of stones on the Hounsfield scale. Today, it is common to distinguish three main types of gallstones found in humans: cholesterol, black and brown pigment stones. Methods of treatment of gastrointestinal tract can be divided into invasive or surgical, minimally invasive and non-invasive. Recommending a patient with gastrointestinal surgery, you should always remember that surgical treatment is the elimination of the consequences of cholelithiasis, and not the treatment of its essence. So, after the successful application of udhc in the early 80-ies of the last century for the dissolution of gallstones, drug litholysis, opened a new era in the treatment of gastrointestinal tract and reduced the amount of indications for surgical treatment. |
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| institution | Directory Open Access Journal |
| issn | 2079-701X 2658-5790 |
| language | Russian |
| last_indexed | 2024-04-09T16:40:39Z |
| publishDate | 2019-10-01 |
| publisher | Remedium Group LLC |
| record_format | Article |
| series | Медицинский совет |
| spelling | doaj.art-e4db5f24852a4c28992d4b22d5f04c1e2023-04-23T06:56:43ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902019-10-01014445110.21518/2079-701X-2019-14-44-513779Treatment Options for Patients with Gallstones (Cholelithiasis)P. V. Seliverstov0T. E. Skvortsova1S. I. Sitkin2V. G. Radchenko3North-Western State Medical University named after I.I. MechnikovNorth-Western State Medical University named after I.I. MechnikovNorth-Western State Medical University named after I.I. Mechnikov; Institute of Highly Pure Biopreparations; Almazov National Medical Research CenterNorth-Western State Medical University named after I.I. MechnikovAccording to the Recommendations of the Scientific society of gastroenterologists of Russia for the diagnosis and treatment of cholelithiasis (GI), GI is a multifactorial disease of the hepatobiliary system and one of the most common diseases of the digestive system. It is known that in the vast majority of cases, GI develops as a result of the complex influence of many risk factors. Thus, the change in the qualitative and quantitative composition of bile, as well as a history of gastrectomy, papillosphincterotomy, the right-hand hemicolectomy, cholesterosis gall bladder, chronic hepatitis, peptic ulcer of the duodenum, duodenostasis contributes to the reduction of the contractile function of the gallbladder and the development of hypertonicity of the sphincter of Oddi. Current understanding of mechanisms of formation of gallstones is based on many studies, which proved that the GSD is a result of destabilized bile-damaged hepatocytes, the subsequent nucleation of crystals of monohydrate of cholesterol crystallization in the mucin matrix on the background of hypomotor dysfunction of the gall bladder. After anamnesis and General clinical examination, the main diagnostic method for suspected gastrointestinal tract is ultrasound (ultrasound). However, differentiation of stone types by ultrasound is generally not possible. The most modern diagnostic method is CT with an assessment of the density of stones on the Hounsfield scale. Today, it is common to distinguish three main types of gallstones found in humans: cholesterol, black and brown pigment stones. Methods of treatment of gastrointestinal tract can be divided into invasive or surgical, minimally invasive and non-invasive. Recommending a patient with gastrointestinal surgery, you should always remember that surgical treatment is the elimination of the consequences of cholelithiasis, and not the treatment of its essence. So, after the successful application of udhc in the early 80-ies of the last century for the dissolution of gallstones, drug litholysis, opened a new era in the treatment of gastrointestinal tract and reduced the amount of indications for surgical treatment.https://www.med-sovet.pro/jour/article/view/4197cholelithiasissludgeoral letalisgimekromonantispasmodicursodeoxycholic acid |
| spellingShingle | P. V. Seliverstov T. E. Skvortsova S. I. Sitkin V. G. Radchenko Treatment Options for Patients with Gallstones (Cholelithiasis) Медицинский совет cholelithiasis sludge oral letalis gimekromon antispasmodic ursodeoxycholic acid |
| title | Treatment Options for Patients with Gallstones (Cholelithiasis) |
| title_full | Treatment Options for Patients with Gallstones (Cholelithiasis) |
| title_fullStr | Treatment Options for Patients with Gallstones (Cholelithiasis) |
| title_full_unstemmed | Treatment Options for Patients with Gallstones (Cholelithiasis) |
| title_short | Treatment Options for Patients with Gallstones (Cholelithiasis) |
| title_sort | treatment options for patients with gallstones cholelithiasis |
| topic | cholelithiasis sludge oral letalis gimekromon antispasmodic ursodeoxycholic acid |
| url | https://www.med-sovet.pro/jour/article/view/4197 |
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