Effect of compositional analysis of the body on gallbladder functional state in patients with chronic diseases of the biliary system against the background of obesity
##plugins.themes.bootstrap3.article.sidebar##
##plugins.themes.bootstrap3.article.main##
Abstract
The development of chronic diseases of gallbladder is closely associated with disorders of its functional state.
The objective: to conduct dynamic echosonography (DESG) of gallbladder with choleretic breakfast to evaluate functional state of gallbladder.
Patients and methods. There were 124 patients aged 31–55with chronic diseases of the biliary system (CDBS) against the background of obesity. There was performed determination of compositional analysis of the body and functional state of gallbladder.
Results. Determination of the gallbladder volume on an empty stomach in healthy persons and patients with CDBS against the background of obesity showed that in patients with both the primary and control groups the gallbladder volume was 1,37 and 1,36 times higher than in healthy individuals (р<0,01).
Conclusion. The obtained data may indicate that the functional state of gallbladder is influenced by the percentage of adipose tissue in the body of patients. An increase in the mass of adipose tissue against the background of a relative lack of muscle tissue contributes to an increase in the volume of the gallbladder and a decrease in its contractile force.
##plugins.themes.bootstrap3.article.details##
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain the copyright and grant the journal the first publication of original scientific articles under the Creative Commons Attribution 4.0 International License, which allows others to distribute work with acknowledgment of authorship and first publication in this journal.
References
Анисимова Е.В. Хронический холецистит у пациентов с различным трофологическим статусом: механизмы возникновения и особенности течения / Е.В. Анисимова, И.В. Козлова, С.В. Волков // Рос. журн. гастроэнтерологии, гепатологии, колопроктологии. – 2014. – No 3. – С. 36–41.
Гастроентерологія: підручник / під ред.: Н.В. Харченко, О.Я. Бабака. – К., 2007. – 719 с.
Лялюкова Е.А. Дисфункция сфинктера Одди и синдром избыточного бактериального роста в кишечнике / Е.А. Лялюкова, М.А. Ливзан // Лечащий врач. – 2013. – No 1. – С. 61.
Маев И.В. Дисфункциональные расстройства билиарного тракта (алгоритм диагностики и лечебной тактики): пособие для врачей общ. практики, терапевтов, гастроэнтерологов / И.В. Маев. – М.: ГОУ ВУНМЦ МЗ и СР РФ, 2006. – 72 с.
Матюха Л.Ф. Корекція порушень вуглеводного обміну у хворих на ожиріння у поєднанні з ураженнями жовчного міхура / Л.Ф. Матюха, І.А. Якубовська // Сімейна медицина. – 2015. – No 5. – С. 100–103.
Максимов В.А. Патология гепатобилиарной системы и билиарная недостаточность / В.А. Максимов. – М.: АдамантЪ, 2013. – 494 с.
Минушкин О.Н. Билиарно печеночная дисфункция: Понятие, классификация, диагностика, лечебные подходы / О.Н. Минушкин, В.А. Максимов. – М., 2008. – 32 с.
Современная терапия заболеваний органов пищеварения / В.А. Максимов, К.К. Далидович, А.Л. Чернышев [и др.]. – М.: АдамантЪ, 2011. – 711 с.
Циммерман Я.С. Гастроэнтерология: [руководство] / Я.С. Циммерман. – 2 е изд., перераб. и доп. – М.: ГЭОТАР Медиа, 2015. – 813 с.
Abdominal obesity, weight gain during adulthood and risk of liver and biliary tract cancer in a European cohort / S. Schlesinger, K. Aleksandrova, T. Pischon [et al.] // Int. J. Cancer. – 2013. – Vol. 132, N 3. – P. 645–657.
Combining body mass index with measures of central obesity in the assessment of mortality in subjects with coronary disease: role of «normal weight central obesity» / T. Coutinho, K. Goel, D. Correa de Sa [et al.] // J. Am. Coll. Cardiol. – 2013. – Vol. 61, N 5. – P. 553–560.
Effect of ursodeoxycholic acid on inflammatory infiltrate in gallbladder muscle of cholesterol gallstone patients / S. Carotti [et al.] // Neurogastroenterol Motil. – 2010. – Vol. 22, No 8. – P. 866–873.
Perazzo H. The interactions of nonalcoholic fatty liver disease and cardiovascular diseases / H. Perazzo, T. Poynard, J.F. Dufour // Clin. Liver Dis. – 2014. – Vol. 18, N 1. – P. 233–248.
Sun L. Association between nonalcoholic fatty liver disease and coronary artery disease severity / L. Sun, S.Z. Lu // Chin. Med. J. (Engl.). – 2011. – Vol. 124, N 6. – P. 867–872.
