Cholelithiasis and cholecystectomy - what's next?

Abstract

The paper is devoted to gallstone disease and cholecystectomy associated with asymptomatic gallstones. The pathogenetic mechanisms of postcholecystectomy syndrome without clinical evidence in patients after cholecystectomy, as well as methods for diagnosis, are described. The section on the treatment of postcholecystectomy syndrome reviews recent data on the use of drugs with the highest level of evidence and recommendation. The article also tells about the results of own research devoted to the improvement of motor-evacuation function of the biliary tract and bile lithogenicity after cholecystectomy in patients with gallstone disease.

Keywords

• желчнокаменная болезнь
• холецистэкто-мия
• постхолецистэктомический синдром
• урсодезоксихо-левая кислота
• литогенность желчи
• cholelithiasis
• cholecystectomy
• postcholecystectomical syndrome
• ursodeoxycholic acid
• bile lithogenicity