Family doctor’s tactics for biliary tract diseases (diagnostic criteria) K.V. Vovk, O.V. Sokruto, O.G. Reznichenko, S.V. Gridneva, M.V. Martynenko.

Kharkiv National University bу V.N. Karazin.

Volumes of work of the family doctor include diagnostics, treatment, multifactorial prevention of diseases of internal organs, which do not require treatment in the hospital. Diseases of the biliary system are one of the leading problems of medicine, in particular gastroenterology. The scope of work is extended through specialized assistance provided by the family physician on their own without involving “narrow” specialists. Functional diseases of the biliary system (FDBS), which exist for a long time, contribute to the development of organic diseases of the gallbladder (GB). Diseases of the biliary system are often combined with functional disorders of the gastroduodenal zone. Diagnostic complex includes analysis of results of radiation methods of research, visual endovascular methods with the possibility of biopsy research, various modifications of duodenal sounding with subsequent microscopy and biochemical analyzes of the obtained material. The rational combination of modern methods of diagnostics makes it possible to detect violations of the bile-forming and bile-secreting function of the liver, the motor function of the biliary tract in a timely manner, and to determine the basic links in the treatment and prevention of these pathological conditions.

Key Words: family medicine, biliary system, diagnostic criteria.


For citing:

  1. Вовк, К.В. Тактика сімейного лікаря при захворюваннях жовчовивідної системи (діагностичні критерії) / К.В. Вовк, О.В. Сокруто, О.Г. Резніченко, С.В. Гріднєва, М.В. Мартиненко // Східноєвропейський журнал внутрішньої та сімейної медицини. – 2019. – № 2. – С. 105-111. doi: 10.15407/internalmed2019.02.105
  2. Vovk KV, Sokruto OV, Reznichenko OG, Gridneva SV, Martynenko MV. [Family doctor’s tactics for biliary tract diseases (diagnostic criteria)]. Shidnoevr. z. vnutr. simejnoi med. 2019;2:105-111. doi: 10.15407/internalmed2019.02.105. Ukrainian


1. Il’chenko AA. Bolezni zhelchnogo Family doctor’s tactics for biliary tract diseases (diagnostic criteria).

puzyrja i zhelchnyh putej: Ruk-vo dlja vrachej. Izd. 2-e rasshirennoe i dop. Moscow (Russia): Medicinskoe informacionnoe agentstvo; 2011.880 р. Russian.

2. Truhan DI, Tarasova LV. Patologija zhelchevyvodjashhej sistemy u zhenshhin: osobennosti patogeneza, techenija, korrekcii i profilaktiki. Consilium Medicum. 2013;6:51-54. Russian.

3. Barie PS. Chronic acalculous cholecystitis. J. Am. Coll. Surg. 2015;180:232-244. English.

4. Wang DQ, Schmitz F, Kopin AS, Carey MC. Targeted disruption of the murine cholecystkinin-I receptor promotes intestinal cholesterol absorption and susceptibility to cholesterol cholelithiasis. Journal of Clinical Investigation. – 2014;114:521-528. English. doi:10.1172/jci200416801.

5. Lemeshko ZA. Standartnye protokoly ul’trazvukovogo issledovanija zhelchnogo puzyrja i vnepechenochnyh zhelchnyh protokov. Rossijskij zhurnal gastrojenterologii, gepatologii, koloproktologii. 2001;2:88-90. Russian.

6. Zajceva EI. Klinicheskoe znachenie differenciacii dismotoriki zhelchnogo puzyrja. Rossijskij zhurnal gastrojenterologii, gepatologii, koloproktologii. T.ХI. 2006;5:92.

7. Stremmel W. Hepatic transport and bile secretion. Physiology and pathophysiology. New York: Raven Press. 2009;225-234 р.

8. Erlinder S. Do intracellular organelles have any role in transport of bile acid by the hepatocytes. Hepatology. 2007;24:88-93.

9. Nathanson MN, Boyer JL. Mechanisms and regulation of bile secretion. Hepatology. 2014;14:551-554.

10. Fromm H, Leuschner U. Bile acids – cholestasis – gall stones: Advances in basic and clinical bile acid reserach. Kluwer Academic Publishers. 2010.329 – 341р.

11. Kvam AM. Cyronic non-calculous cholecystitis. Tidssker Nor Laegeforen. 2013;28:709-710.

12. Schirren J. Chronic acalculous cholecystitis. A stress-induced complication. Chirurg. 2014;61:382-386.

13. Pinto KM. Acalculous cholecystitis: a case report. Nurse Practition. 2016;21:120-122. doi:10.1097/00006205-199610000-00009.

14. Chan YK, Evans PR, Dowsett JF. Discordance of pressure recording from billiary and pancreatic duct serments in patients with suspected sphincter of Oddi dasfunction. Digestive Diseases and Scienses. 2007;42:1501-1506.

15. Pasricha PJ, Hyling LM, Sostre ST. Billiary-type pain in patientes without gallstones: acalculosus cholecystitis or sphincter Oddi dysfunction. Gastroenterology. 2013;104:375.

16. Parithivel VS. Chronic acalculous cholecystitis in young patients without predisposing factors. Am. Surg. 2010;65:366 – 368.

17. Hadidy A, Haroun A, Mahafza W, Barbarawi T. Improving quality of magnetic resonance cholangiopancreaticography: esomeprazole versusranitidine. Hepatogastroenterology. 2009;56:290-293.

18. Barron LG, Rubio PA. Importance of accurate preoperative diagnosis and role of advanced laparоscopic cholecystectomy in relieving chronic acalculous cholecystitis. J. Laparoendoscopic Surgery. 2007;5:357-361.

19. Jones DB, Soper NJ, Brewer JD. Chronic acalculous cholesystitis: Laparascopic treatment. Surg. Laparoscopy and Endoscopy. 2011;6:114-122.

20. Schirmer BD, Winters KL, Edilich RF. Cholelithiasis and cholecystitis. Journal of Long Term Effects of Medical Implants. 2016;15:329-338