RECOMMENDATIONS FOR THE MANAGEMENT OF PATIENTS WITH FUNCTIONAL DISORDERS OF THE GALL BLADDER AND SPHINCTER OF ODDI
https://doi.org/10.21518/2079-701X-2017-11-100-103
Abstract
Objective of the review: Coverage of current aspects of diagnosis and treatment of functional biliary disorders. Basic provisions. The article analyses information about the functional disorders of the gall bladder and the sphincter of Oddi, the principles of treatment of patients with peculiarities in the gall bladder, the main drugs for the functional disorders of the biliary system are provided, possibilities of the domestic drug ursodeoxycholic acid (UDCA) Urdoxa are provided.
Conclusion: According to modern recommendations, the use of the Urdoxa drug is the basis for initial therapy for patients with biliary sludge and for functional disorders of the gall bladder and sphincter of Oddi.
About the Authors
V. V. Tsukanov
Federal Research Center Krasnoyarsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences, detached unit Research Institute of Medical Problems in the North
Russian Federation
Russian Federation
MD, Prof.
Krasnoyarsk
Y. L. Tonkikh
Federal Research Center Krasnoyarsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences, detached unit Research Institute of Medical Problems in the North
Russian Federation
Russian Federation
PhD in medicine.
Krasnoyarsk
A. V. Vasyutin
Federal Research Center Krasnoyarsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences, detached unit Research Institute of Medical Problems in the North
Russian Federation
Russian Federation
PhD in medicine.
Krasnoyarsk
References
1. Агеева Е.С., Штыгашева О.В., Рязанцева Н.В., Цуканов В.В. Молекулярно-генетические факторы, влияющие на исход инфицирования Helicobacter pylori у жителей Республики Хакасия. Рос. журн. гастроэнтерологии, гепатологии, колопроктологии, 2010, 20(4): 16-21.
2. Цуканов В.В., Селиверстова Е.В., Догадин С.А. Показатели липидного состава сыворотки крови и желчи при заболеваниях желчевыводящих путей у больных сахарным диабетом. Терапевт. архив, 2005 2: 15-18.
3. Ruhl CE, Everhart JE. Gallstone disease is associated with increased mortality in the United States. Gastroenterology, 2011, 140(2): 508-516.
4. European Association for the Study of the Liver (EASL). EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. J. Hepatol., 2016, 65(1): 146-181.
5. Тонких Ю.Л., Цуканов В.В., Васютин А.В., Бронникова Е.П. Профилактика желчнокаменной болезни. Врач, 10: 41-43.
6. Cotton PB, Elta GH, Carter CR, Pasricha PJ, Corazziari ES. Rome IV. Gallbladder and Sphincter of Oddi Disorders. Gastroenterology, 2016, 150: 1420–1429. doi: 10.1053/j.gastro.2016.02.033.
7. Ильченко А.А. Билиарный сладж: причины формирования, диагностика и лечение. Consilium Medicum. Гастроэнтерология, 2012, 2: 18–21.
8. Мехтиев С.Н., Гриневич В.Б., Кравчук Ю.А., Богданов Р.Н. Билиарный сладж: нерешенные вопросы. Лечащий врач, 2007, 6: 24–28.
9. Portincasa P, Ciaula AD, Bonfrate L, Wang DQ. Therapy of gallstone disease: What it was, what it is, what it will be? World. J. Gastrointest. Pharmacol. Ther., 2012, 3(2): 7-20.
10. Саблин О.А., Ильчишина Т.А., Ледовская А.А. Заболевания желчного пузыря: возможности терапии препаратами урсодезоксихолевой кислоты. Методическое пособие, СПб., 2013, 34 с.
11. Roma M.G., Toledo F.D., Boaglio A.C., Basiglio C.L., Crocenzi F.A., Sánchez Pozzi E.J. Ursodeoxycholic acid in cholestasis: linking action mechanisms to therapeutic applications. Clin Sci (Lond), 2011, 121(12): 523-544.
12. Guarino MP, Cong P, Cicala M. Ursodeoxycholic acid improves muscle contractility and inflammation in symptomatic gallbladders with cholesterol gallstones. Gut, 2007, 56(6): 815-820.
13. Цуканов В.В., Онучина Е.В., Васютин А.В., Тонких Ю.Л. Опыт длительного лечения пациентов с холелитиазом Урсосаном. Российские медицинские вести, 2015, 2: 47-50.
14. Симаненков В.И., Саблин О.А., Ильчишина Т.А. и др. Применение урсодезоксихолевой кислоты (Урдоксы) у пациентов с дискинезиями желчевыводящих путей. Методические рекомендации. СПб.: Фармпроект, 2010. 28 с.
15. Приворотский В.Ф., Луппова Н.Е. Желчнокаменная болезнь у детей: старая новая болезнь. Terra Medica, 2012, 4: 29-31.
Review
For citations:
Tsukanov VV, Tonkikh YL, Vasyutin AV. RECOMMENDATIONS FOR THE MANAGEMENT OF PATIENTS WITH FUNCTIONAL DISORDERS OF THE GALL BLADDER AND SPHINCTER OF ODDI. Meditsinskiy sovet = Medical Council. 2017;(11):100-103. (In Russ.) https://doi.org/10.21518/2079-701X-2017-11-100-103
Views:
928
Email this article 