[Biliary sludge: diagnosis and treatment at an outpatient's clinic]

Autor: O N, Manushkin, E G, Burdina, E V, Novozhenova, S A, Vasil'chenko, N Iu, Gurova
Rok vydání: 2014
Předmět:
Zdroj: Eksperimental'naia i klinicheskaia gastroenterologiia = Experimentalclinical gastroenterology. (9)
ISSN: 1682-8658
Popis: The purpose of the study--to develop a diagnostic and management tactics for patients with biliary sludge (BS) in an outpatient setting. The study included 115 patients who, according to the ultrasound revealed a BS. Own methodological approach used by ultrasound scan of the gall bladder and the interpretation of ultrasonographic BS types: Type 1 (suspension echo-positive particles) was set at 59.1%, type 2 (low level of mobile like putty echo-positive bile)--23.5%, 3 type (like putty bile in the form of mobile and/or fixed clots)--17.4%. For the treatment of BS used drugs ursodeoxycholic acid. The daily dosage depends upon the type BS. For the treatment of type 1 requires a minimum of 1 month, 2 types--not less than 3 months. Sludge was the most resistant type 3, which is the duration of treatment was 6-12 months or more. Allocation of risk factors forming the BS is the basis for the formation of risk groups and prevention activities (including pharmacotherapeutic).
Databáze: OpenAIRE