Search

It is provided the basic information of the etiopathogenesis, diagnosis of biliary pancreatitis, drug treatment of patients with holetsistolitiaz, and the information of biliary pancreatitis's prevention.

Aim: to justify the role of biliary insufficiency (BI) in the development of disorders of bone mineral density (BMD) in patients with cholelithiasis and after cholecystectomy, to introduce with main methods of diagnosis, prevention and treatment of osteoporosis and osteopenia in biliary pathology. Recent literature data showed that development of BI in the CL and PS leads to malabsorption of vitamin D and thereby contribute to the development of osteoporosis and osteopenia. The main method of diagnosis of BMD is twoenergic X-ray densitometry.

In article clinical observation of the patient of 17 years with developmental anomaly of a duodenum-megabulbus, transferred in the early neonatal period operative treatment concerning congenital impassability of a duodenum in connection with its atresia, and generated after diseases of upper gastrointestinal and biliary tract is presented.

Studies have shown that patients with cholelithiasis include a large group of people having associated duodenal ulcer as well. Duodenal ulcer also precedes cholelithiasis quite often (the ratio being 4:1), which makes it possible to consider duodenal ulcer as one of the risk factors for the duodenal ulcer development.

Apitherapy is treatment of diseases with biologically active products of bee-keeping (BAPB), which is developing in an intensive way all over the world. The interest in apitherapy is explained, on the one hand, by a great number of natural compounds produced by bees as a result of their vital functions and having high physiological activity, and on the other hand, by the universal nature of bees occurrence and comparative simplicity of getting the bee-keeping products. In apitherapy literature many authors point to the fact that honey has an impact on gastric secretion: a cold honey solution stimulates, and a warm one inhibits acid excretion. Yet there are no results of studies confirming this action in all publications.

Mebeverine (Duspatalin) can be used for the relief of pains and dyspeptic disorders in cholelithic patients.

Results of examination of patients suffering from cholecystitis combined with duodenal ulcerative disease and accompanying duodenogastric reflux are presented. The comparison of acidifiable gastric function state in patients suffering from cholelithiasis combined with duodenal ulcerative disease and patients with only cholecystitis or duodenal ulcerative disease was performed. Intragastric pH-metry allows not only to study acidifiable gastric function but also to reveal functional disorders like duodenogastric reflux. Expressed and resistant duodenogastric reflux can result in structural modification of gastric mucosa.

The most frequent affection of digestive apparatus is the ulcerative disease. Ulcerative duodenal or gastric affection irrespective of its localization is a chronic cyclic recidivating disease of whole organism. It affects mainly an active able-bodied age and often results in heavy course and physical disability. The complicated forms of ulcerative disease--bleeding, perforation, stenosis--require the surgical intervention.

The examination's results of the patients with duodenal peptic ulcer and gastroesophagus reflux at the same time are presented in this paper. The frequency of pathological esophagus's changes revealing with endoscopic and histological methods, as well as with 24 hours intraesophagus pH-monitoring is compared. The correlation of pathological refluxes quantity and the severity of esophagus mucosa changes were demonstrated.