Лечение заболеваний желчного пузыря и поджелудочной железы с сопутствующим дисбактериозом кишечника

Abstract

In scientific article was investigated 17 calculous cholecystitis (CCh) Patients with concominant gut dysbiosis (GD), 23 gut dysbiosis patients and 18 chronic pancreatitis (Cr P) with exocrine insufficiency on background gut dysbiosis. Among CCh patients 15 had physical-chemical stage (with increased iithogenic indexes and level cholesterol in gallbladder bile) and 2 patients had surgical stage of CCh (diameters stones were 1,5 and 2,5 sm respectively). Treatment GD patients of I stage (chilak, linex or yogurt) with comcominant CCh (physical-chemical stage) lead to elimination GD and lowering Iithogenic indexes of gallbladder bile thanks to inhibition 7a-dehydroxylase, conjugates activity in gut. As the results of alteration these enzemes decreased formation ‘>nd adsorption gut secondary bile acids and cholesterol in blood. When Iithogenic ' p ex(cs °J gallbladder bile were significant in addition were prescribed choleretics , ankov“s tinctura with chologogum or phebichol). As the results of study the [0.!,'^1и5'оп was made that for treatment patients with CrP and exocrine _ u ticiency with concominant GD except replacement and antihypoxant therapy, dto I0!jcs’ Preparations with included L. bifidus and L.acidophilus must be i«vSc. c- CrP or CCh (physical-chemical stage) with Staph, aureus GD effective Was application clarythromycin (clacid).