Postcholecystectomy syndrome from the position of surgeon and gastroenterologist

Authors

  • N.N. Veligotsky Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine,
  • E.A. Lazutkina Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine,
  • S.E. Arutyunov Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine,
  • B.V. Menkus Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine,
  • Yu.Yu. Taran Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine,
  • K.A. Aleksanian Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine,

DOI:

https://doi.org/10.22141/1997-2938.2.37.2018.147842

Keywords:

postcholecystectomy syndrome, organic and functional changes in the sphincter of Oddi, endosurgery, drug the­rapy

Abstract

The article presents the results of treatment of 173 patients with postcholecystectomy syndrome and organic changes in the sphincter of Oddi and 140 patients with functional changes in the sphincter of Oddi. The main direction of therapeutic ma­nagement for organic causes of postcholecystectomy syndrome was maximum use of endoscopic methods and endosurgery in combination with modern therapeutic agents. When the functional changes in the sphincter of Oddi were detected, drug the­rapy was applied with a differentiated approach to the choice of drugs, depending on the prevalence of hypertonia or sphincter of Oddi dysfunction (mebeverine hydrochloride (duspatalin), itopride, trimebutine maleate (trimspa). For normalization of the physicochemical properties of bile and prevention of recurrent choledocholithiasis, ursodeoxycholic acid derivatives (Ursofalk) were used.

References

Агафонова Н.А. Постхолецистэктомический синдром: вопросы диагностики и лечения / Н.А. Агафонова. — М.: Прима: Принт, 2015. — 156 с.

Григорьев П.Я. Постхолецистэктомический синдром: диагностика и лечение / П.Я. Григорьев, Н.А. Агафонова, Э.П. Яковенко // Здоровье Украины. — 2015. — № 1. — С. 53.

Губергриц Н.Б. Панкреатическая недостаточность после хирургических вмешательств на органах пищеварения / Н.Б. Губергриц // Вестник клуба панкреатологов. — 2013. — № 1. — С. 15-20.

Еремина Е.Ю. Тактика ведения больного после холецистэктомии. Медицинский алфавит / Е.Ю. Еремина, Л.С. Козлова // Гастроэнтерология. — 2013. — № 1. — С. 10-14.

Звягинцева Т.Д. Постхолецистэктомический синдром: дисфункция сфинктера Одди / Т.Д. Звягинцева, И.И. Шаргород // Ліки України. — 2011. — № 2. — С. 100-106.

Костюченко М.В. Дисфункция сфинктерного аппарата желчных путей после холецистэктомии: современные аспекты лечения / М.В. Костюченко // Эффективная фармакотерапия. Гастроэнтерология. — 2013. — Т. 31, № 3. — С. 24-30.

Минушкин О.Н. Современные представления о ПХЭС в свете рекомендаций Римского консенсуса II–III / О.Н. Минушкин // Медицинский совет. — 2015. — № 1. — С. 5-23.

Плотникова Е.Ю. Желчнокаменная болезнь, холецистэктомия — что дальше? / Е.Ю. Плотникова, А.П. Рубан, А.Д. Багмет // Вестник клуба панкреатологов. — 2017. — № 1. — С. 55-58.

Риск возникновения холангита после эндоскопических вмешательств на большом сосочке двенадцатиперстной кишки / А.И. Ткаченко, Е.И. Шаповалова, Б.В. Евсиков [и др.] // Клінічна хірургія. — 2016. — № 12. — С. 20-22.

Ustundag Y. Is it safer to postpone endoscopic large balloon dilatation after ES in the setting of acute cholangitis due to large bile duct stones? / Y. Ustundag, U. Saritas // Send to Dig Dis Sci. — 2014. — Vol. 59, № 11. — Р. 2838-2839.

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Issue

No. 2.37 (2018)

Section

Original Researches

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