Gallbladder disease and biliary tract in practice doctor first contact: passive waiting or active surveillance

Abstract

When administered to patients with pathology of the gallbladder and biliary tract, doctors often resort to a passive diagnostic and treatment tactics, which leads to the progression of diseases of the biliary tract and the development of clinical situations where the possibility of conservative treatment are minimal, and the patient requires surgical treatment. The leading role in the prevention of gallstone disease belongs to a doctor of first contact. Diagnosis of gallstone before the stone - stage and active conservative therapy is effective for the prevention of formation of gallstones and other complications of biliary sludge. An important place in the framework of the active surveillance of patients with pathology of the biliary tract, takes therapy with ursodeoxycholic acid as a result of the multifaceted actions pathogenetic justification and evidence-based.

Keywords

• primary health care
• of dysfunction of the biliary tract
• biliary sludge
• gallstones
• ursodeoxycholic acid
• urdoxa®