Diagnostics and treatment of biliary dyskinesia: clinical guidelines of the Russian gastroenterological Association

Aim of publication. To present the guidelines on diagnostics and treatment of biliary dyskinesia to practical doctors. Summary. The gallbladder dyskinesia and sphincter of Oddi dyskinesia are defined as the diseases of functional origin caused by motility and visceral sensitivity disorders. The path...
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Autor*in:	V. T. Ivashkin [verfasserIn] I. V. Mayev [verfasserIn] Yu. O. Shulpekova [verfasserIn] Ye. K. Baranskaya [verfasserIn] A. V. Okhlobystin [verfasserIn] A. S. Trukhmanov [verfasserIn] T. L. Lapina [verfasserIn] A. A. Sheptulin [verfasserIn]

Format:	E-Artikel
Sprache:	Russisch

Erschienen:	2018

Schlagwörter:	дискинезия желчного пузыря дискинезия сфинктера одди спазмолитики урсодезоксихолевая кислота

Übergeordnetes Werk:	In: Российский журнал гастроэнтерологии, гепатологии, колопроктологии - Gastro LLC, 2020, 28(2018), 3, Seite 63-80
Übergeordnetes Werk:	volume:28 ; year:2018 ; number:3 ; pages:63-80

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.22416/1382-4376-2018-28-3-63-80

Katalog-ID:	DOAJ083375198

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allfields	10.22416/1382-4376-2018-28-3-63-80 doi (DE-627)DOAJ083375198 (DE-599)DOAJ7d8497ee61aa42db91b3d6b20c0783ac DE-627 ger DE-627 rakwb rus RC799-869 V. T. Ivashkin verfasserin aut Diagnostics and treatment of biliary dyskinesia: clinical guidelines of the Russian gastroenterological Association 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Aim of publication. To present the guidelines on diagnostics and treatment of biliary dyskinesia to practical doctors. Summary. The gallbladder dyskinesia and sphincter of Oddi dyskinesia are defined as the diseases of functional origin caused by motility and visceral sensitivity disorders. The pathogenesis of these disorders is not completely understood. Development of sphincter of Oddi dysfunction is related to previous cholecystectomy. Contractility disorders along with increased lithogenicity followed by cyclooxygenase-2 overactivation in biliary tract tissue play significant pathogenic role; putative change in bile acid composition may be involved as well. Diagnosis of biliary dyskinesia requires first the careful analysis of pattern of pain and compliance of symptoms to biliary pain criteria; second, instrumental tests that exclude organic origin of biliary disease. Estimation of the type of biliary dysfunction is established on compliance of the detected symptoms to proposed criteria. Conclusion. Biliary dyskinesia pathogenesis is not studied well. Development of attacks of biliary pain (according to established criteria) and lack of organic disorders evidence, may help to suspect the presence of biliary dyskinesia. To exclude organic biliary diseases with confidence, informative modern diagnostic tests of biliary tract visualization should be applied. Therapeutic approach should include correction of diet and lifestyle modification, administration of antispasmodic medications and agents modulating the state of nervous system, in selected cases the option of papillosphincterotomy should be considered. дискинезия желчного пузыря дискинезия сфинктера одди спазмолитики урсодезоксихолевая кислота Diseases of the digestive system. Gastroenterology I. V. Mayev verfasserin aut Yu. O. Shulpekova verfasserin aut Ye. K. Baranskaya verfasserin aut A. V. Okhlobystin verfasserin aut A. S. Trukhmanov verfasserin aut T. L. Lapina verfasserin aut A. A. Sheptulin verfasserin aut In Российский журнал гастроэнтерологии, гепатологии, колопроктологии Gastro LLC, 2020 28(2018), 3, Seite 63-80 (DE-627)1698164203 26586673 nnns volume:28 year:2018 number:3 pages:63-80 https://doi.org/10.22416/1382-4376-2018-28-3-63-80 kostenfrei https://doaj.org/article/7d8497ee61aa42db91b3d6b20c0783ac kostenfrei https://www.gastro-j.ru/jour/article/view/242 kostenfrei https://doaj.org/toc/1382-4376 Journal toc kostenfrei https://doaj.org/toc/2658-6673 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 28 2018 3 63-80
spelling	10.22416/1382-4376-2018-28-3-63-80 doi (DE-627)DOAJ083375198 (DE-599)DOAJ7d8497ee61aa42db91b3d6b20c0783ac DE-627 ger DE-627 rakwb rus RC799-869 V. T. Ivashkin verfasserin aut Diagnostics and treatment of biliary dyskinesia: clinical guidelines of the Russian gastroenterological Association 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Aim of publication. To present the guidelines on diagnostics and treatment of biliary dyskinesia to practical doctors. Summary. The gallbladder dyskinesia and sphincter of Oddi dyskinesia are defined as the diseases of functional origin caused by motility and visceral sensitivity disorders. The pathogenesis of these disorders is not completely understood. Development of sphincter of Oddi dysfunction is related to previous cholecystectomy. Contractility disorders along with increased lithogenicity followed by cyclooxygenase-2 overactivation in biliary tract tissue play significant pathogenic role; putative change in bile acid composition may be involved as well. Diagnosis of biliary dyskinesia requires first the careful analysis of pattern of pain and compliance of symptoms to biliary pain criteria; second, instrumental tests that exclude organic origin of biliary disease. Estimation of the type of biliary dysfunction is established on compliance of the detected symptoms to proposed criteria. Conclusion. Biliary dyskinesia pathogenesis is not studied well. Development of attacks of biliary pain (according to established criteria) and lack of organic disorders evidence, may help to suspect the presence of biliary dyskinesia. To exclude organic biliary diseases with confidence, informative modern diagnostic tests of biliary tract visualization should be applied. Therapeutic approach should include correction of diet and lifestyle modification, administration of antispasmodic medications and agents modulating the state of nervous system, in selected cases the option of papillosphincterotomy should be considered. дискинезия желчного пузыря дискинезия сфинктера одди спазмолитики урсодезоксихолевая кислота Diseases of the digestive system. Gastroenterology I. V. Mayev verfasserin aut Yu. O. Shulpekova verfasserin aut Ye. K. Baranskaya verfasserin aut A. V. Okhlobystin verfasserin aut A. S. Trukhmanov verfasserin aut T. L. Lapina verfasserin aut A. A. Sheptulin verfasserin aut In Российский журнал гастроэнтерологии, гепатологии, колопроктологии Gastro LLC, 2020 28(2018), 3, Seite 63-80 (DE-627)1698164203 26586673 nnns volume:28 year:2018 number:3 pages:63-80 https://doi.org/10.22416/1382-4376-2018-28-3-63-80 kostenfrei https://doaj.org/article/7d8497ee61aa42db91b3d6b20c0783ac kostenfrei https://www.gastro-j.ru/jour/article/view/242 kostenfrei https://doaj.org/toc/1382-4376 Journal toc kostenfrei https://doaj.org/toc/2658-6673 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 28 2018 3 63-80
allfields_unstemmed	10.22416/1382-4376-2018-28-3-63-80 doi (DE-627)DOAJ083375198 (DE-599)DOAJ7d8497ee61aa42db91b3d6b20c0783ac DE-627 ger DE-627 rakwb rus RC799-869 V. T. Ivashkin verfasserin aut Diagnostics and treatment of biliary dyskinesia: clinical guidelines of the Russian gastroenterological Association 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Aim of publication. To present the guidelines on diagnostics and treatment of biliary dyskinesia to practical doctors. Summary. The gallbladder dyskinesia and sphincter of Oddi dyskinesia are defined as the diseases of functional origin caused by motility and visceral sensitivity disorders. The pathogenesis of these disorders is not completely understood. Development of sphincter of Oddi dysfunction is related to previous cholecystectomy. Contractility disorders along with increased lithogenicity followed by cyclooxygenase-2 overactivation in biliary tract tissue play significant pathogenic role; putative change in bile acid composition may be involved as well. Diagnosis of biliary dyskinesia requires first the careful analysis of pattern of pain and compliance of symptoms to biliary pain criteria; second, instrumental tests that exclude organic origin of biliary disease. Estimation of the type of biliary dysfunction is established on compliance of the detected symptoms to proposed criteria. Conclusion. Biliary dyskinesia pathogenesis is not studied well. Development of attacks of biliary pain (according to established criteria) and lack of organic disorders evidence, may help to suspect the presence of biliary dyskinesia. To exclude organic biliary diseases with confidence, informative modern diagnostic tests of biliary tract visualization should be applied. Therapeutic approach should include correction of diet and lifestyle modification, administration of antispasmodic medications and agents modulating the state of nervous system, in selected cases the option of papillosphincterotomy should be considered. дискинезия желчного пузыря дискинезия сфинктера одди спазмолитики урсодезоксихолевая кислота Diseases of the digestive system. Gastroenterology I. V. Mayev verfasserin aut Yu. O. Shulpekova verfasserin aut Ye. K. Baranskaya verfasserin aut A. V. Okhlobystin verfasserin aut A. S. Trukhmanov verfasserin aut T. L. Lapina verfasserin aut A. A. Sheptulin verfasserin aut In Российский журнал гастроэнтерологии, гепатологии, колопроктологии Gastro LLC, 2020 28(2018), 3, Seite 63-80 (DE-627)1698164203 26586673 nnns volume:28 year:2018 number:3 pages:63-80 https://doi.org/10.22416/1382-4376-2018-28-3-63-80 kostenfrei https://doaj.org/article/7d8497ee61aa42db91b3d6b20c0783ac kostenfrei https://www.gastro-j.ru/jour/article/view/242 kostenfrei https://doaj.org/toc/1382-4376 Journal toc kostenfrei https://doaj.org/toc/2658-6673 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 28 2018 3 63-80
allfieldsGer	10.22416/1382-4376-2018-28-3-63-80 doi (DE-627)DOAJ083375198 (DE-599)DOAJ7d8497ee61aa42db91b3d6b20c0783ac DE-627 ger DE-627 rakwb rus RC799-869 V. T. Ivashkin verfasserin aut Diagnostics and treatment of biliary dyskinesia: clinical guidelines of the Russian gastroenterological Association 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Aim of publication. To present the guidelines on diagnostics and treatment of biliary dyskinesia to practical doctors. Summary. The gallbladder dyskinesia and sphincter of Oddi dyskinesia are defined as the diseases of functional origin caused by motility and visceral sensitivity disorders. The pathogenesis of these disorders is not completely understood. Development of sphincter of Oddi dysfunction is related to previous cholecystectomy. Contractility disorders along with increased lithogenicity followed by cyclooxygenase-2 overactivation in biliary tract tissue play significant pathogenic role; putative change in bile acid composition may be involved as well. Diagnosis of biliary dyskinesia requires first the careful analysis of pattern of pain and compliance of symptoms to biliary pain criteria; second, instrumental tests that exclude organic origin of biliary disease. Estimation of the type of biliary dysfunction is established on compliance of the detected symptoms to proposed criteria. Conclusion. Biliary dyskinesia pathogenesis is not studied well. Development of attacks of biliary pain (according to established criteria) and lack of organic disorders evidence, may help to suspect the presence of biliary dyskinesia. To exclude organic biliary diseases with confidence, informative modern diagnostic tests of biliary tract visualization should be applied. Therapeutic approach should include correction of diet and lifestyle modification, administration of antispasmodic medications and agents modulating the state of nervous system, in selected cases the option of papillosphincterotomy should be considered. дискинезия желчного пузыря дискинезия сфинктера одди спазмолитики урсодезоксихолевая кислота Diseases of the digestive system. Gastroenterology I. V. Mayev verfasserin aut Yu. O. Shulpekova verfasserin aut Ye. K. Baranskaya verfasserin aut A. V. Okhlobystin verfasserin aut A. S. Trukhmanov verfasserin aut T. L. Lapina verfasserin aut A. A. Sheptulin verfasserin aut In Российский журнал гастроэнтерологии, гепатологии, колопроктологии Gastro LLC, 2020 28(2018), 3, Seite 63-80 (DE-627)1698164203 26586673 nnns volume:28 year:2018 number:3 pages:63-80 https://doi.org/10.22416/1382-4376-2018-28-3-63-80 kostenfrei https://doaj.org/article/7d8497ee61aa42db91b3d6b20c0783ac kostenfrei https://www.gastro-j.ru/jour/article/view/242 kostenfrei https://doaj.org/toc/1382-4376 Journal toc kostenfrei https://doaj.org/toc/2658-6673 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 28 2018 3 63-80
allfieldsSound	10.22416/1382-4376-2018-28-3-63-80 doi (DE-627)DOAJ083375198 (DE-599)DOAJ7d8497ee61aa42db91b3d6b20c0783ac DE-627 ger DE-627 rakwb rus RC799-869 V. T. Ivashkin verfasserin aut Diagnostics and treatment of biliary dyskinesia: clinical guidelines of the Russian gastroenterological Association 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Aim of publication. To present the guidelines on diagnostics and treatment of biliary dyskinesia to practical doctors. Summary. The gallbladder dyskinesia and sphincter of Oddi dyskinesia are defined as the diseases of functional origin caused by motility and visceral sensitivity disorders. The pathogenesis of these disorders is not completely understood. Development of sphincter of Oddi dysfunction is related to previous cholecystectomy. Contractility disorders along with increased lithogenicity followed by cyclooxygenase-2 overactivation in biliary tract tissue play significant pathogenic role; putative change in bile acid composition may be involved as well. Diagnosis of biliary dyskinesia requires first the careful analysis of pattern of pain and compliance of symptoms to biliary pain criteria; second, instrumental tests that exclude organic origin of biliary disease. Estimation of the type of biliary dysfunction is established on compliance of the detected symptoms to proposed criteria. Conclusion. Biliary dyskinesia pathogenesis is not studied well. Development of attacks of biliary pain (according to established criteria) and lack of organic disorders evidence, may help to suspect the presence of biliary dyskinesia. To exclude organic biliary diseases with confidence, informative modern diagnostic tests of biliary tract visualization should be applied. Therapeutic approach should include correction of diet and lifestyle modification, administration of antispasmodic medications and agents modulating the state of nervous system, in selected cases the option of papillosphincterotomy should be considered. дискинезия желчного пузыря дискинезия сфинктера одди спазмолитики урсодезоксихолевая кислота Diseases of the digestive system. Gastroenterology I. V. Mayev verfasserin aut Yu. O. Shulpekova verfasserin aut Ye. K. Baranskaya verfasserin aut A. V. Okhlobystin verfasserin aut A. S. Trukhmanov verfasserin aut T. L. Lapina verfasserin aut A. A. Sheptulin verfasserin aut In Российский журнал гастроэнтерологии, гепатологии, колопроктологии Gastro LLC, 2020 28(2018), 3, Seite 63-80 (DE-627)1698164203 26586673 nnns volume:28 year:2018 number:3 pages:63-80 https://doi.org/10.22416/1382-4376-2018-28-3-63-80 kostenfrei https://doaj.org/article/7d8497ee61aa42db91b3d6b20c0783ac kostenfrei https://www.gastro-j.ru/jour/article/view/242 kostenfrei https://doaj.org/toc/1382-4376 Journal toc kostenfrei https://doaj.org/toc/2658-6673 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 28 2018 3 63-80
language	Russian
source	In Российский журнал гастроэнтерологии, гепатологии, колопроктологии 28(2018), 3, Seite 63-80 volume:28 year:2018 number:3 pages:63-80
sourceStr	In Российский журнал гастроэнтерологии, гепатологии, колопроктологии 28(2018), 3, Seite 63-80 volume:28 year:2018 number:3 pages:63-80
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	дискинезия желчного пузыря дискинезия сфинктера одди спазмолитики урсодезоксихолевая кислота Diseases of the digestive system. Gastroenterology
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authorswithroles_txt_mv	V. T. Ivashkin @@aut@@ I. V. Mayev @@aut@@ Yu. O. Shulpekova @@aut@@ Ye. K. Baranskaya @@aut@@ A. V. Okhlobystin @@aut@@ A. S. Trukhmanov @@aut@@ T. L. Lapina @@aut@@ A. A. Sheptulin @@aut@@
publishDateDaySort_date	2018-01-01T00:00:00Z
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language_de	russisch
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author	V. T. Ivashkin
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topic_title	RC799-869 Diagnostics and treatment of biliary dyskinesia: clinical guidelines of the Russian gastroenterological Association дискинезия желчного пузыря дискинезия сфинктера одди спазмолитики урсодезоксихолевая кислота
topic	misc RC799-869 misc дискинезия желчного пузыря misc дискинезия сфинктера одди misc спазмолитики misc урсодезоксихолевая кислота misc Diseases of the digestive system. Gastroenterology
topic_unstemmed	misc RC799-869 misc дискинезия желчного пузыря misc дискинезия сфинктера одди misc спазмолитики misc урсодезоксихолевая кислота misc Diseases of the digestive system. Gastroenterology
topic_browse	misc RC799-869 misc дискинезия желчного пузыря misc дискинезия сфинктера одди misc спазмолитики misc урсодезоксихолевая кислота misc Diseases of the digestive system. Gastroenterology
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title	Diagnostics and treatment of biliary dyskinesia: clinical guidelines of the Russian gastroenterological Association
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title_full	Diagnostics and treatment of biliary dyskinesia: clinical guidelines of the Russian gastroenterological Association
author_sort	V. T. Ivashkin
journal	Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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author_browse	V. T. Ivashkin I. V. Mayev Yu. O. Shulpekova Ye. K. Baranskaya A. V. Okhlobystin A. S. Trukhmanov T. L. Lapina A. A. Sheptulin
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author-letter	V. T. Ivashkin
doi_str_mv	10.22416/1382-4376-2018-28-3-63-80
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title_sort	diagnostics and treatment of biliary dyskinesia: clinical guidelines of the russian gastroenterological association
callnumber	RC799-869
title_auth	Diagnostics and treatment of biliary dyskinesia: clinical guidelines of the Russian gastroenterological Association
abstract	Aim of publication. To present the guidelines on diagnostics and treatment of biliary dyskinesia to practical doctors. Summary. The gallbladder dyskinesia and sphincter of Oddi dyskinesia are defined as the diseases of functional origin caused by motility and visceral sensitivity disorders. The pathogenesis of these disorders is not completely understood. Development of sphincter of Oddi dysfunction is related to previous cholecystectomy. Contractility disorders along with increased lithogenicity followed by cyclooxygenase-2 overactivation in biliary tract tissue play significant pathogenic role; putative change in bile acid composition may be involved as well. Diagnosis of biliary dyskinesia requires first the careful analysis of pattern of pain and compliance of symptoms to biliary pain criteria; second, instrumental tests that exclude organic origin of biliary disease. Estimation of the type of biliary dysfunction is established on compliance of the detected symptoms to proposed criteria. Conclusion. Biliary dyskinesia pathogenesis is not studied well. Development of attacks of biliary pain (according to established criteria) and lack of organic disorders evidence, may help to suspect the presence of biliary dyskinesia. To exclude organic biliary diseases with confidence, informative modern diagnostic tests of biliary tract visualization should be applied. Therapeutic approach should include correction of diet and lifestyle modification, administration of antispasmodic medications and agents modulating the state of nervous system, in selected cases the option of papillosphincterotomy should be considered.
abstractGer	Aim of publication. To present the guidelines on diagnostics and treatment of biliary dyskinesia to practical doctors. Summary. The gallbladder dyskinesia and sphincter of Oddi dyskinesia are defined as the diseases of functional origin caused by motility and visceral sensitivity disorders. The pathogenesis of these disorders is not completely understood. Development of sphincter of Oddi dysfunction is related to previous cholecystectomy. Contractility disorders along with increased lithogenicity followed by cyclooxygenase-2 overactivation in biliary tract tissue play significant pathogenic role; putative change in bile acid composition may be involved as well. Diagnosis of biliary dyskinesia requires first the careful analysis of pattern of pain and compliance of symptoms to biliary pain criteria; second, instrumental tests that exclude organic origin of biliary disease. Estimation of the type of biliary dysfunction is established on compliance of the detected symptoms to proposed criteria. Conclusion. Biliary dyskinesia pathogenesis is not studied well. Development of attacks of biliary pain (according to established criteria) and lack of organic disorders evidence, may help to suspect the presence of biliary dyskinesia. To exclude organic biliary diseases with confidence, informative modern diagnostic tests of biliary tract visualization should be applied. Therapeutic approach should include correction of diet and lifestyle modification, administration of antispasmodic medications and agents modulating the state of nervous system, in selected cases the option of papillosphincterotomy should be considered.
abstract_unstemmed	Aim of publication. To present the guidelines on diagnostics and treatment of biliary dyskinesia to practical doctors. Summary. The gallbladder dyskinesia and sphincter of Oddi dyskinesia are defined as the diseases of functional origin caused by motility and visceral sensitivity disorders. The pathogenesis of these disorders is not completely understood. Development of sphincter of Oddi dysfunction is related to previous cholecystectomy. Contractility disorders along with increased lithogenicity followed by cyclooxygenase-2 overactivation in biliary tract tissue play significant pathogenic role; putative change in bile acid composition may be involved as well. Diagnosis of biliary dyskinesia requires first the careful analysis of pattern of pain and compliance of symptoms to biliary pain criteria; second, instrumental tests that exclude organic origin of biliary disease. Estimation of the type of biliary dysfunction is established on compliance of the detected symptoms to proposed criteria. Conclusion. Biliary dyskinesia pathogenesis is not studied well. Development of attacks of biliary pain (according to established criteria) and lack of organic disorders evidence, may help to suspect the presence of biliary dyskinesia. To exclude organic biliary diseases with confidence, informative modern diagnostic tests of biliary tract visualization should be applied. Therapeutic approach should include correction of diet and lifestyle modification, administration of antispasmodic medications and agents modulating the state of nervous system, in selected cases the option of papillosphincterotomy should be considered.
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title_short	Diagnostics and treatment of biliary dyskinesia: clinical guidelines of the Russian gastroenterological Association
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up_date	2024-07-03T17:06:30.548Z
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