Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

Dyskineses of biliary ducts - etiopathogenesis, clinical course, diagnosis and treatment

Danuta Owczarek, Dariusz Skulina, Irena Ciećko-Michalska, J—ózef Bogdał

Med Sci Monit 1999; 5(5): RA1020-1023 :: ID: 503446

Abstract

Dyskinesias of biliary ducts are disturbances of motorial activity and tone of the gallbladder, bile tracts and Oddi's sphincter. The correct function of the system of biliary ducts depends on maintaining proper pressure in it and this pressure, in turn, depends appreciably on the function of the gallbladder itself. Tone, compliance and elasticity of duct tract walls should be constantly maintained in harmony. The motor activity is controlled by hormonal, nervous and mechanical stimuli. Dyskineses of biliary ducts are cause to the occurrence of a series of clinical symptoms that do not differ from the symptoms of organic diseases of this system. Before diagnosing 'Dyskinesis biliaris ', first of all organic diseases must be excluded. A cause to dyskinesis of the gallbladder, biliary ducts and Oddi's sphincter can be post-inflammatory fibrosis, changed function of smooth muscles, of their autonomous innervation as well as pathological reaction to hormonal, nervous and mechanical stimuli. Disturbances in the function of the gallbladder lead to its hypotonia, hypertonia, hypo- or hyperkinesis. As far as Oddi's sphincter is concerned, there can be distinguished two types of disfunctions: stenotic and dyskinetic. The treatment of dyskinesis biliaris consist in applying a diet and pharmacotherapy. Although the surgical treatment of some dysfunctions of biliary ducts is controversial, in some cases good results are attained, for example in the case of sphincterotomy in patients whose choledochus has a diameter over 12 mm or of cholecystostomy in patients with the gallbladder ejection fraction under 35%. Then, there have also been some attempts at treating dyskineses with sound waves or laser irradiation.

Keywords: treatment, dyskineses odiagnosis, clinicals, dyskineses of biliary ducts, Diagnosis

0 Comments

Editorial

12 September 2022 : Editorial  

Editorial: Treatment with Dual Incretin Receptor Agonists to Maintain Normal Glucose Levels May Also Maintain Normal Weight and Control Metabolic Dysfunction-Associated Fatty Liver Disease (MAFLD)

Ana Luisa Ordóñez-Vázquez, Sofía Murúa Beltrán-Gall, Shreya C. Pal, Nahum Méndez-Sánchez
Liver Research Unit, Medica Sur Clinic Foundation, Mexico City, Mexico

DOI: 10.12659/MSM.938365

Med Sci Monit 2022; 28:e938365

SARS-CoV-2/COVID-19

16 September 2022 : Review article  

Effects of Physiotherapy on Rehabilitation and Quality of Life in Patients Hospitalized for COVID-19: A Rev...

Med Sci Monit In Press; DOI: 10.12659/MSM.938141  

12 September 2022 : Clinical Research  

Effect of Vitamin D Concentration on Course of COVID-19

Med Sci Monit In Press; DOI: 10.12659/MSM.937741  

In Press

29 Sep 2022 : Animal Research  

Effect of Antilogous Platelet-Rich Plasma on the Revascularization of Rabbit Prefabricated Flap

Med Sci Monit In Press; DOI: 10.12659/MSM.937718  

26 Sep 2022 : Clinical Research  

Distribution and Determinants of Plasma Homocysteine Levels in a Preconception Population: A Retrospective ...

Med Sci Monit In Press; DOI: 10.12659/MSM.937987  

26 Sep 2022 : Clinical Research  

Latency and Interpeak Interval Values of Auditory Brainstem Response in 73 Individuals with Normal Hearing

Med Sci Monit In Press; DOI: 10.12659/MSM.937847  

23 Sep 2022 : Review article  

A Review of the Role of Ultrasound Radiomics and Its Application and Limitations in the Investigation of Th...

Med Sci Monit In Press; DOI: 10.12659/MSM.937738  

Most Viewed Current Articles

30 Dec 2021 : Clinical Research  

Retrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...

DOI :10.12659/MSM.935379

Med Sci Monit 2021; 27:e935379

13 Nov 2021 : Clinical Research  

Acceptance of COVID-19 Vaccination and Its Associated Factors Among Cancer Patients Attending the Oncology ...

DOI :10.12659/MSM.932788

Med Sci Monit 2021; 27:e932788

08 Mar 2022 : Review article  

A Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...

DOI :10.12659/MSM.936292

Med Sci Monit 2022; 28:e936292

01 Nov 2020 : Review article  

Long-Term Respiratory and Neurological Sequelae of COVID-19

DOI :10.12659/MSM.928996

Med Sci Monit 2020; 26:e928996

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750