Optimisation of treatment of patients with cholelithiasis and stomach pathology
A.YU. GORBUNOV, E.L. BAZHENOV, YA.I. GRIGUS
Izhevsk State Medical Academy
Gorbunov Alexander Yurievich
Candidate of Medical Science, assistant at the Department of Propaedeutics of Internal Diseases with a course of nursing care
20-29 Shumaylova Str., Izhevsk, the Udmurt Republic 426000
tel.: (3412) 45-20-56, 8-912-858-78-57, e-mail: gor-a@udmnet.ru
In patients with prestone stage of cholelithiasis in the Udmurt Republic is frequently found the chronic gastritis of various intensity with violation of secretory function. The proposed complex treatment method of prestone stage of cholelithiasis with chronic gastritis has a beneficial effect on the structural components of the mucosa, and on acid- and pepsin-causing stomach function.
Key words: cholelithiasis, chronic gastritis, pepsinogen, ursodeoxycholic acid, mineral water «Uvinskaya».
REFERENCES
1. Vahrushev Ja.M. Zhelchnokamennaja bolezn’. ― Izhevsk: Jekspertiza, 2004. ― 76 s.
2. Il’chenko A.A. Zhelchnokamennaja bolezn’. ― M.: Anaharsis, 2004. ― 200 s.
3. Selezneva Je.Ja. Vzaimootnoshenie DGR i NR-infekcii v jetiologii jerozivno-jazvennyh porazhenij u bol’nyh s sochetaniem zhelchnokamennoj jazvennoj bolezni // Aktual’nye voprosy biliarnoj patologii. Tezisy vyezdnogo plenuma NOGR. ― Izhevsk. ― 2006. ― S. 55-56.
4. Nekotorye gastrointestinal’nye gormony i kislotoobrazujushhaja funkcija zheludka u bol’nyh zhelchnokamennoj bolezn’ju / Bol’shakova T.D., Ivanchenkova R.A., Gitel’ E.P., Agafonova N.A., Saltykov B.B. // Ter. arhiv. ― 1987. ― № 2. ― S. 126-129.
5. Ivanchenkova R.A. Hronicheskie zabolevanija zhelchevyvodjashhih putej. ― M.: Atmosfera, 2006. ― 416 s., il.
6. Ikergami T., Matsuzaki Y. Ursodeoxycholic acid: Mechanism of action and novel clinical applications // Hepatol. Res. ― 2008. ― Vol. 38, № 2. ― P. 123-131.
7. Il’chenko A.A. Zabolevanija zhelchnogo puzyrja i zhelchnyh putej: Rukovodstvo dlja vrachej. ― M.: Anaharsis, 2006. ― 448 s.
8. Unusual case of severe cholestasis of pregnancy with early onset, improved by ursodeoxycholic acid administration / Brites D., Cecilia M.P. Rodrigues, M. da Conceicao Cardoso, L. M. Graca // European Journal of Obsterics & Gynecology and Reproductive Biology. ― 1998 (76) ― 165 – 168.
9. Jungst C., Kullak-Ublick G. A., Jungst D. Gallstone disease: Microlithiasis and sludge // Best Pract. Res. Clin. Gastroenterol. ― 2006. ― Vol. 20, № 6. ― P. 1053-1062.
10. Hronicheskij gastrit /Aruin L.I., Grigor’ev P.Ja., Isakov V.A., Jakovenko Je.P. // Amsterdam. ― 1993. ― 362 s.
11. Immunofermentnyj analiz na pepsinogen I, gastrin-17 i antitela k Helicobacter pylori v neinvazivnoj diagnostike atroficheskogo gastrita / P. Sipponen, Je. Forsbljum, O. Suovajnemi, M. Harkonen // Rossijskij zhurnal gastrojenterologii, gepatologii, koloproktologii. ― 2002. ― № 3. ― S. 46-51.
12. Serum pepsinogen I and serum atrophic corpus gastritis / M. Kekki, I.M. Samloff, K. Varis, T. Ihamaki // Scand. J. Gastroenterol. – 1991. – Vol. 186. – P. 109-116.