Dyskinesia of The Biliary Tract

Dyskinesia of The Biliary Tract

Dyskinesia of the biliary tract

Dyskinesia of the biliary tract – Elite Treatment in Europe

Gastroenterology -2005

Biliary dyskinesia are frequent diseases. Women suffer 10 times more often than men. Dyskinesia of the gallbladder and biliary sphincter is incomplete, untimely or excessive muscle contraction of the gallbladder or biliary sphincter, which leads to disruption of the normal outflow of bile.

The reduction of the gall bladder is under the influence of the hormone cholecystokinin, which secrete cells of duodenal mucosa. Isolation of cholecystokinin occurs under the action of food. When food enters the duodenum, a release of cholecystokinin, gallbladder contracts and the sphincter of Oddi relaxes. Bile is released into the duodenum. This whole process depends on the condition and tone muscles of the gall bladder, sphincter and the nature of food.

The causes of biliary dyskinesia to date not fully understood. On the origin of isolated

  • primary
  • secondary dyskinesia of the gallbladder and biliary tract.

Primary dyskinesia occurs in connection with violation of neuromuscular regulation of motor activity of the gallbladder and bile duct sphincters. It is believed that this type of dyskinesia occurs in patients asthenic build with neurotic or psycho-emotional narusheniya.Takim patients except for the diagnosis of biliary dyskinesia, often set the diagnosis of neurocirculatory dystonia, or vascular dysfunction. The causes of dyskinesias are diseases of the endocrine system, in particular, thyroid, gonads, menopause.

Secondary dyskinesia of the gallbladder and biliary tract occurs in patients with diseases of other organs of the gastrointestinal tract (chronic gastritis, duodenitis, enteritis, colitis). Very often dyskinesias occur in diseases of the duodenum, when in connection with damage to the cells of duodenal mucosa, impaired release of cholecystokinin. Secondary dyskinesia in patients having cholelithiasis or chronic cholecystitis.

By the nature of violations of the motor function of biliary dyskinesia is divided into:

  • hypertonic-hyperkinetic
  • hypotonic-hypokinetic
  • mixed.

Hypertonic-hyperkinetic dyskinesia is less common. It is typical for people with an excitable nervous system, asthenic physique, combined with the neuroses. Mostly the young age of the patients. It is believed that hypertonic dyskinesia promotes food with lots of spices, seasonings, spicy dishes.

Hypertonic-hyperkinetic dyskinesia of the gall bladder is manifested by pain. Pain appear in the gallbladder, in the right upper quadrant. Give pain in the right half of the chest, right shoulder blade, collarbone, shoulder, right side of the neck or lower jaw. The intensity of the pain may be different. Often the pains are strong enough. Duration of pain before the hour. Triggered by an attack of pain reception oily or spicy food, psycho-emotional stress.

Hypotonic-hypokinetic dyskinesia of the gallbladder and biliary tract is more common and occurs mainly in people who lead a sedentary lifestyle, overweight.

The cause of hypotension biliary tract may become chronic, inflammatory disease of the mucous membrane of the stomach or duodenum. More common in older people. Pain with a slightly pronounced dyskinesias. They are usually dull, aching, accompanied by a feeling of fullness in the right epigastric region. Patients more likely to have digestive disorders, since hypotension gallbladder bile into the intestine is slow.

When digestion occurs in the intestines lack of bile acids, which is manifested by malabsorption of fats, vitamins, cholesterol, calcium salts. In patients after a meal, especially with overeating, nausea, bloating, stool disorders. Often develop constipation due to lack of stimulatory effect of bile acids in the muscles of the intestine. But sometimes there are diarrhea, which are called gipoholicheskaya diarrhea. This condition is also due to lack of bile acids in the intestine.

Digestive disorders contribute to obesity, metabolic disorders, which manifest the development of polyarthritis, urolithiasis. In the long process in the gallbladder and the ducts can be formed to develop stones or inflammation.

Diagnosis of dyskinesia of the gallbladder and bile ducts carry with duodenal sounding. With the introduction of hypertonic dyskinesias form secretion stimulator (magnesium sulfate) often causes a painful attack of gallbladder bile and the fraction released quickly or intermittently, the phase of gallbladder contraction may be reduced. In hypokinetic dyskinesia – bile from the gallbladder flows out through the long period of time after stimulation, the secretion of bile has been slow. Work is also cholecystography and intravenous holegrafiya, radioholetsistografiya. These studies reveal changes in the filling and emptying of the gall bladder and to rule out other diseases of the biliary tract and gallbladder.

Treatment of dyskinesia of the gallbladder and biliary tract.

First of all, you need the normalization of diet, work and rest, the state of the nervous system. In hypertensive type dyskinesia is assigned a diet with the exception of fried, spicy food, condiments, smoked meats, alcoholic beverages. We recommend eating small meals often. When the pain appointed antispasmodics, sedatives herbs.

Assigned to physical therapy and spa treatments, exercise therapy. In hypokinetic dyskinesia diet version number is expanding. Drugs are used to stimulate motor activity of the biliary tract (xylitol, sorbitol, magnesium sulfate). Recommended to perform duodenal intubation with the release of bile from the gallbladder, or "closed tyubazhey" when the patient is recommended that a special method by which it can carry out independent stimulation of gallbladder contraction. Must be appointed physiotherapy and spa treatment.

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