Digestive system >>>> Treatment of dysfunction of the biliary tract

Treatment of dysfunction of the biliary tract.

To select an adequate treatment for dysfunction of the biliary tract, it is necessary to conduct diagnostic studies of the state of the biliary system, in particular: to assess the function of the gallbladder, the work of the sphincter of Oddi.

Methods for diagnosing biliary dyskinesia are divided into screening and clarifying the diagnosis:

Ultrasound of the abdominal organs, liver function tests, duodenal intubation, esophagogastroduodenoscopy are carried out as part of a screening study.
Ultrasound of the gallbladder, ultrasound of the sphincter of Oddi, endoscopic ultrasonography, endoscopic cholangiopancreatography, manometry of the sphincter of Oddi, cholecystography are performed to clarify and concretize the dysfunction of the elements of the biliary tract.

Approaches to the treatment of biliary dyskinesia are chosen depending on what type of gastric dyskinesia develops .

Treatment of hypertensive type of biliary dysfunction.

Drug treatment includes drugs of the cholespasmolytic group (Atropine sulfate, Besalol, Metacin, Platyphyllin, No-shpa, Papaverine and others). To stimulate the outflow of bile, synthetic cholekinetics and herbal infusions are prescribed, which have a cholekinetic effect. With an increased tone of the gallbladder, bile acids should not be taken ; plant infusions of choleretic herbs; choleretic drugs; drugs that stimulate enzymatic activity.

The diet should be based on multiple meals (5-6 times plus a snack before bedtime) and exclude foods that stimulate the secretion of duodenal enzymes (meat broths, fish broths, mushroom soups, animal fats, eggs, fatty meats, fatty sour cream, etc.) cream). Food should be low-calorie, plant-based (vegetable broths, mashed soups, boiled or steamed vegetables).

An emotionally stable atmosphere, avoidance of stressful situations, nervous overstrain plays an important role in the treatment of the hypermotor function of the biliary tract. Meditation, autogenic training, entertainment based on contemplation (museums, exhibitions, zoos, oceanariums, nature trips) will help maintain a balanced state of the nervous system.

Treatment of hypotonic type of biliary dysfunction.

The course of treatment includes preparations of bile acids (Cholecin, Deholil, Liobil, Hologon) and prokinetics (Domperidone, Metoclopramide, Cisaprid), herbal choleretic drugs (Allahol, Hepabene, Cholenzym, Holosas) and herbal extracts of choleretic herbs.

Diet therapy includes meals with foods that stimulate bile production: broths, fish broths, lean meats, eggs, vegetable oils, butter, high fiber foods, high and medium fat dairy products, mushroom dishes, seafood, etc. soups from them.