CONDUCT OF MEDICAL EXAMINATIONS TO DIAGNOSE THE PATHOLOGY OF THE LIVER AND BILIARY SYSTEM

Abstract

Objective: to explore the possibility of diagnosis of hepatobiliary pathology at the medical examination of employees. Materials and methods: inspection data, questionnaires, ultrasound of the hepatobiliary system 141 people including 93 women and 48 men, ranging in age from 22 to 74 years were analyzed. Esophagogastroduodenoscopy, identification of Helicobacter pylori, biochemical blood analysis (glucose, cholesterol, total bilirubine its fractions, alanine aminotransferase, aspartate aminotransferase, γ-glutamyl transpeptidase, fibrinogen), FibroTest, research of a feces on eggs of helminths, Giardia, fecal occult blood were performed when required. Results: the medical examination revealed: GIT (70.2%), hepatic steatosis (24.1%), periportal fibrosis was (17.7%), cholesterols gallbladder (9.2%), gallstones (7.8%), chronic cholecystitis (5.7%), liver cyst (4.9%), hemangioma of the liver (4.3%), gallbladder polyp (2.1%), and comorbidities of the pancreas, upper digestive tube. The pathology observed in individuals of working age. Conclusions: carrying out of additional prophylactic medical examinations improves diagnosis, quality of health interventions without interruption from work.

Keywords

• medical examinations
• pathology of the hepatobiliary tract