Med Sci Monit 1999; 5(5): RA1020-1023 :: ID: 503446
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
12 September 2022 : EditorialEditorial: 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)
Med Sci Monit 2022; 28:e938365
16 September 2022 : Review articleEffects 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 ResearchEffect of Vitamin D Concentration on Course of COVID-19
Med Sci Monit In Press; DOI: 10.12659/MSM.937741
29 August 2022 : Database AnalysisTranscriptome Analysis of Peripheral Blood Mononuclear Cells Response in Patients with Severe COVID-19 Reve...
Med Sci Monit 2022; 28:e937532
29 Sep 2022 : Animal ResearchEffect 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 ResearchDistribution 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 ResearchLatency and Interpeak Interval Values of Auditory Brainstem Response in 73 Individuals with Normal Hearing
Med Sci Monit In Press; DOI: 10.12659/MSM.937847
Most Viewed Current Articles
30 Dec 2021 : Clinical ResearchRetrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...
Med Sci Monit 2021; 27:e935379
13 Nov 2021 : Clinical ResearchAcceptance of COVID-19 Vaccination and Its Associated Factors Among Cancer Patients Attending the Oncology ...
Med Sci Monit 2021; 27:e932788
08 Mar 2022 : Review articleA Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...
Med Sci Monit 2022; 28:e936292