Abstract :

In terms of prevalence, frequency of surgical intervention and economic losses, cholelithiasis belongs to one of the most costly areas of world health care and occupies one of the leading positions in the structure of morbidity. Many authors have proven the leading risk factors for cholelithiasis. However, to this day, there are often difficulties in the timely differential diagnosis of cholelithiasis and breast syndrome. The use of modern highly sensitive research methods does not exclude diagnostic errors that occur in 10–42% of cases.

To date, to help surgeons, further study of this problem is required, because they are aimed at improving the results of surgical treatment of this group of patients.

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Keywords :

Cholelithiasis, chronic calculous cholecystitis, endoscopic retrograde cholangiography, obstructive jaundice, radiopaque computed tomography, Ultrasound

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References :

1. Abramova A.G. Surgical treatment of acute calculous cholecystitis // Postgraduate doctor. – Vol.75., No. 22., – p. 204–210.
2. Borisov A.E. Guidelines for surgery of the liver and biliary tract / Ed. Borisova A.E. Petersburg: OOO SKIFIA, 2003, – T. 1.2. – c. 1048.
3. Vasin A.B., Malashenko V.N., Sgonnik A.V. Possibilities of predicting complications in minimally invasive decompression of the biliary tract // Creative Surgery and Oncology. 10 (1), 2020. – 28–52.
4. Vakhrushev Ya.M. Gallstone disease: epidemiology, risk factors, clinical course, prevention // Vakhrushev Ya.M., Khokhlacheva N.A. // Archive of internal medicine. – Vol. 6., No. 3 (29), – p. 30–35.
5. Vetshev P.S. Obstructive jaundice: causes and diagnostic approaches (lecture) / Vetshev P.S. // Annals of surgical hepatology. – Vol. 16., No. 3. – p. 50–57.
6. Vetshev P.S. Minimally invasive percutaneous technologies: history, traditions, negative trends and prospects // Vetshev P.S., Musaev G.Kh., Bruslik S.V. // Annals of surgical hepatology. – 1., 2014. – p. 12–16.
7. Vetshev P.S., Nogtev P.V. Cholecystocardial syndrome – myth or reality // Surgery, 3., 2005. – p. 59–64.
8. Vinnik Yu.S., Serova E.V., Andreev R.I. and other. Conservative and surgical treatment of gallstone disease // Fundamental research. – 9–5., 2013. – p. 954–958.
9. Vovk E.N. Gallstone disease in the XXI century: treatment or prevention? // Vovk E.H. // medicum. Gastroenterology. – №2., 2010. – p. 4.
10. Gabriel S.A. Retrograde endoscopic interventions in the treatment of patients with obstructive jaundice / Gabriel S.A., Durleshter V.M., Gutchetl A.Ya. etc. // Annals of surgical hepatology. – № 4., – p. 81.
11. Galperin E.I. Obstructive jaundice: the state of “imaginary stability”, the consequences of the “second blow”, the principles of treatment // Galperin E.I. // Annals of surgical hepatology. No. 16 (3)., – p. 16–26.
12. Gudieva I.R. The frequency of occurrence of jaundice with cholecystitis in North Ossetia – Alania // Young scientist. No. 24 (210)., 2018. – p. 282–
13. Dadvani S.A., Vetshov P.S., Shulutko A.M., Prudkov M.I. Cholelithiasis. M.: ed. GEOTAR–Media group, 2009. – 175.
14. Dedov I.I., Melnichenko G.A., Ranentseva T.I. Obesity management strategy: results of the All–Russian observation program “PrimVera” // Obesity and metabolism. – 13., – №1., 2016. – p. 36–44.
15. Ivanchikov A.A. Magnetic resonance cholangiography in the diagnosis of certain diseases; bile ducts: Abstract of the thesis. Dis. …Cand. Honey. Sciences. / Ivanchikov A.A. – , 2004.
16. Kadyrov D.M., Vasiev A.S. Percutaneous transhepatic drainage in the treatment of patients with obstructive jaundice // Proceedings of the Academy of Sciences of the Republic of Tajikistan. Department of biochemical and medical sciences. – 186., No. 2., 2014. – p. 63–70.
17. Karimov Sh.I., Khakimov M.Sh., Adylkhodzhaev A.A. et al. Treatment of complications of transhepatic endobiliary interventions in obstructive jaundice caused by penriampulyar tumors //Annals of surgical hepatology. – №3., 2015. – 68–74.
18. Korolev M.P. Bilobar stenting for tumor lesions of the hepatic ducts // Korolev M.P., Fedotov L.E., Avanesyan R.G. etc. // Malignant tumors. – 2., 2015. – p. 46–52.
19. Kotovsky A.E., Glebov K.G., Dyuzheva T.G. Retrograde arthroplasty of the bile ducts in benign diseases of the organs of the hepatopancreatoduodenal zone // Annals of surgical hepatology. 24(1), 2019. – 61–70.
20. Krasilnikov D.M. Surgical tactics in iatrogenic injuries of bile ducts // Krasilnikov D.M., Farrakhov A.Z., Kurbangaleev A.I. // Practical medicine. – 47., 2010. – p. 20–29.
21. Lavrenova E.A., Drapkina O.M. Insulin resistance in obesity: causes and consequences // Obesity and metabolism. – 17., – No. 1. 2020. – p. 48–55.
22. Lotov A.N. Minimally invasive technologies in the diagnosis and treatment of obstructive jaundice (LECTION) // Lotov A.N., Mashinskiy A.A., Vetshev P.S. // Pacific Med. magazine. – 1 (15), 2004. – p. 11–18.
23. Lutsevich E.V., Ukhanov A.P., Meshkov V.N., Semenov M.V. Endoscopic surgery of cholelithiasis // Endoscopic surgery. “Veliky Novgorod: Publishing house” Typogr. Novgorod, 1999. – 130.
24. Maady A.S. Endoscopic biliary stenting in tumor obstructive jaundice // Maady A.S., Karpov O.E., Stoyko Yu.M. etc. // Annals of surgical hepatology. No. 3., 2015. – 59.
25. Maistrenko H.A. Obstructive jaundice syndrome of benign genesis: optimization of diagnostic and therapeutic approaches // Maistrenko N.A., Romashchenko P.N., Strukov E.Yu. // Actual problems of surgical hepatology: Proceedings of the XX International Congress of the Association of Surgeons–Hepatologists of the CIS countries – Donetsk: Publisher Zaslavsky A.Yu., 2013. – p. 118.
26. Mikhailichenko V.Yu., Kislyakov V.V., Reznichenko A.M. et al. Modern aspects of surgical treatment of obstructive jaundice syndrome // Modern aspects of surgery. treatment of obstructive jaundice syndrome // Modern problems of science and education. Number 3. 2019.
27. Mikhin I.V. A differentiated approach to the choice of a minimally invasive surgical treatment option for patients suffering from various forms of calculous cholecystitis // Mikhin I.V., Kukhtenko Yu.V., Kosivtsov O.A. and others // Endoscopic surgery. Vol. 20., No. 1. 2014. – p. 3–8.
28. Morakhovsky Yu.Kh. Gallstone disease: Current state of the problem // Russian Journal of Gastroenterology, Hepatology, Coloproctology. – T.13., No. 1. 2003. – p. 81–82.
29. Nazarov F.N. Complications of videolaparoscopic cholecystectomy // Nazarov F.N., Khakimov A.N., Kurbonov A.M. // Mat. XII Moscow Intl. Kongr. by endosk. surgery. Moscow, 2009. – p. 219–220.
30. Nikitin I.G., Volnukhin A.V. Gallstone disease: epidemiological data, key aspects of pathogenesis and comorbidity, current therapeutic targets, breast cancer. “Medical Review”, No. 5., 2020. – p. 290–296.
31. Pakhomova R.A. Modeling of controlled obstructive jaundice in the experiment /R.A. Pakhomova, E.A. Voronova, M.V. Rodikov // Modern problems of science and education. – No. 6. 2015. – 280.
32. Podluzhny V.I. Obstructive jaundice: Principles of diagnosis and modern surgical treatment // Fundamental and Clinical Medicine. – Vol. 3., – No. 2., 2018. – p. 82–92.
33. Skvortsova T.E., Sitkin S.I., Radchenko V.G. etc. Cholelithiasis. Modern approaches to diagnosis, treatment and prevention: a guide for doctors // – M.: Forte print. 2013. – p. 32.
34. Sogdatova A.A. Prevalence, clinical and genetic features of cholelithiasis in the Republic of Bashkortostan). Abstract …Diss. Cand. Honey. Sciences, UFA. 2018. – p. 23.
35. Starkov Yu.G. Endosonography in the diagnosis of diseases of the organs of the hepatopancreatobiliary zone // Starkov Yu.G., Solodinina E.N., Shishin K.V. // Surgery. Journal them. N.I. Pirogov. No. 6., 2009. – p. 10–16.
36. Khokhlacheva N.A., Sergeeva N.N., Vakhrushev Ya.M. Age and gender features of the development of gallstone disease. Archive of internal medicine. – V. 6., No. 1 (27), 2016. – p. 34–39.
37. Shapovalyants S. G. The choice of the method of decompression of the biliary tract in obstructive jaundice. / Shapovalyants S.G., Tskaev A.Yu., Grushko G.V. // Annals of surgical hepatology. T. 2., 1997. – p. 117–122.
38. Shevchenko Yu.L. Sparing surgery // Shevchenko Yu.L. – M.: GEOTAR–Media, 2005. – p. 72–91.
39. Benson M.D. Ultrasound of gepatobiliary–pancreatic system // M.D. Benson, M.R. Gandhi // World J. Surg. – Vol. 24., 2000. – p. 166–170.
40. Brown K.T. Management of malignant biliary obstruction // Brown K.T., Covey A.M. // Techn. Vase. Intervent. Radiol. – Vol. 11 (1)., 2008. – p. 43–50.
41. Chen Y., Wu S., Tion Y. et al. Posphorylation and subcellular localization of Na+/H+ exchanger isotorm 3 (NHEЗ) are associated with altered gallbladder absorptive function after formаtion of cholesterol gallstonеs // J. Physiol. Biohem. – Vol. 73., №1., 2017. – p. 133–139.
42. Dasari B.V.M. Surgical versus endoscopic treatment of bile duct stones // Dasari B.V.M., Tan C.J., Gurusamy K.S. et al. // The Cochrane Collaboration. – Cochrane Hepato–Biliary Group. 2013.
43. Di Ciaula A., Wang D.Q.H., Portincasa P. An update on the pathogenesis of cholesterol gallstone disease. Current Opinion in Gastroenterology. 34 (2), 2018. – p. 71–80.
44. European Association for the Study of the Liver (EASL). Electronic address: easloffice@easloffice.eu EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones // Journal of Hepatology. – Vol. 65., – № 1. 2016. – p. 146–181.
45. Lammert F., Gurusamy K., Ko C.W., Miquel J.F. et al. Gallstones // Nature Reviews. Disease Primers. 2016. – p. 129.
46. Lammert F., Newbrand M. et al. Kurzfassung der aktualisierten S 3–Leitlinie der DGVS und DGVC zur Diagnostik und Behandlung Von Gollensteinen DMW–Deutsche Medizinishe Wochenschright. 133 (7), 2008. – p. 311–316.
47. Munnich A., Feingold J. Book Rewiew: The Coenetic Basis of Common Diseases (Oxford Monograph by King R.A., Rotter J.J., Motulsky A.G., 1076 pp., Illustrated. New York, Oxford University. N. Engl. J. Med. 349 (4), 2003. – p. 410.
48. Nimanya S., Ocen W., Makobore P., Bua E., Ssekitooleko B., Oyania F. Prevalence and risk factors of gallstone disease in patients undergoing ultrasonography at Mulago hospital, Uganda // African Health Sciences. – Vol. 20., – № 1., 2020. – p. 383–391.
49. Pak M., Lindseth G. Risk Factors for Cholelithiasis // Gastroenterology Nursing: The Official Journal of the Society of Gastroenterology Nurses and Associates. – Vol. 39., – № 4. 2016. – p. 297–309.
50. Rebhoulz C., Krawczyk F., Lammеrt F. Genеtics of gallstone disеаsе // Eur. J. Clin. Invest. – Vol. 51, – №4., 2018. – p. 465–471.
51. Wang L., Chen J., Jiang W., Cen L., et al. The Relationship between Helicobacter pylori Infection of the Gallbladder and Chronic Cholecystitis and Cholelithiasis: A Systematic Review and Meta–Analysis // Canadian Journal of Gastroenterology & Hepatology,