Gallbladder Inflammation / Gallstones

Vopr Kurortol Fizioter Lech Fiz Kult.  2013 Nov-Dec;(6):36-41.

The early postoperative rehabilitation of the patients presenting with cholelithiasis and experiencing psychoemotional stress.

[Article in Russian]
Poddubnaia OA, Marsheva SI.

Abstract

Early postoperative rehabilitation of the patients presenting with cholelithiasis and experiencing psychoemotional stress is designed to restore the function of bile secretion, enhance their adaptive capabilities, and normalize the psychovegetative status for the purpose of preventing further progress of the disease and reducing the risk of the development of post-cholecystectomy syndrome. The inclusion of drinking mineral water, magnetic laser therapy, and UHF therapy in the combined rehabilitative treatment of such patients results in the appreciable enhancement of all functional abilities of the body manifest as the significant improvement and normalization of clinical and laboratory characteristics (elimination of clinical symptoms of the disease, improvement of general and biochemycal parameters of peripheral blood). Simultaneously, the adaptive capabilities and the psychovegetative status of the patients improved as apparent from the increased lymphocyte count, normalization of the Kerdo and Hildebrandt indices and indices of stress level, decreased psychoemotional stress, enhancement of physical functioning characteristics. Taken together, these changes account for the high effectiveness of the above procedures of early postoperative rehabilitation of the patients presenting with cholelithiasisand experiencing psychoemotional stress (94.7%).

Ter Arkh. 2009;81(2):57-61.

Effects of laser reflex therapy on motor function of the gall bladder and physical properties of bile in patient with chronic acalculous cholecystitis

[Article in Russian]

Burduli NM, Raniuk LG.

AIM: To study effects of laser puncture in combined treatment of chronic non-calculous cholecystitis on motor function of the gallbladder, bile physical characteristics and clinical symptoms. MATERIAL AND METHODS: 73 patients with chronic non-calculous cholecystitis were divided into two groups: 35 patients received standard therapy alone (control group) and 38 patients were exposed to laser puncture as a component of combined treatment. RESULTS: Laser radiation on acupuncture points has a positive therapeutic result, i.e. shorter clinical symptoms, correction of motor function of the gallbladder and bile physical characteristics. CONCLUSION: Laser puncture is an effective method of acalculous cholecystitis treatment and can be included in relevant combined schemes.

Klin Med (Mosk). 2006;84(7):42-5.

[Laser therapy in complex treatment of chronic acalculous cholecystitis]

[Article in Russian]

Burduli NM, Raniuk LG.

The effectiveness of various laser techniques in patients with exacerbation of chronic acalculous cholecystitis was studied. The subjects were 62 patients, in whom the diagnosis was made using clinical and instrumental tests. The patients were divided into three groups. Group I received conventional pharmacotherapy; group II received a course of intravenous laser therapy in addition to it; group III received a course of laseropuncture and low-intensive laser irradiation of the hepatic area in addition to pharmacotherapy. The best results according to clinical and instrumental data were achieved in group III. Thus, the study demonstrates advantages provided by laser therapy in complex treatment of exacerbation of chronic acalculous cholecystitis

Lik Sprava. 1998 May;(3):135-7.  

 

Laser puncture in the combined treatment of stenocardia with concomitant chronic cholecystitis

[Article in Russian]

Akimova LG.

Efficiency was studied of laser acupuncture and quercetin in patients with ischemic heart disease (IHD) with concurrent chronic cholecystitis. Multimodality quantum and antioxidant therapy treatments were found out to have a beneficial effect on the clinical course of both the underlying disease and the concomitant pathologies of the biliary system, making for improvement of hemodynamics and contractile function of the myocardium, returning the hepatic circulation to normal in IHD patients with concomitant chronic cholecystitis that did not respond to conventional therapies.

Lik Sprava. 2002;(1):126-9.  

Correction of the gastric and duodenal motility by laser puncture in pancreatobiliary diseases

[Article in Russian]

Gontar AA.

96.7 percent of patients with affections of organs of the pancreatobiliary zone displayed motor function disorders of upper portions of the alimentary canal (AC). A characteristic sign of the pathological process in pancreatobiliary organs is decreased frequency of recordable biopotentials and qualitative changes in electrogastrogrames. Changes in qualitative characteristics of the electrogastrogram are clearly related to increase in the intraduodenal pressure recordable with the aid of the “open catheter” technique. Laseropuncture is an effective supplementary method for correction of motility disorders in the upper portions of AC in those patients presenting with affections of the pancreatobiliary organs.

Ter Arkh. 1990;62(2):46-8.  

Changes in the intracavitary pressure in the stomach and duodenum with different types of motility

[Article in Russian]

Reshetilov IuI.

As many as 352 patients with different gastroenterological pathology (ulcer disease, chronic gastritis, chronic pancreatitis and cholecystitis) were examined under clinical conditions. Intracavitary pressure and gastric and duodenal motility were recorded on a “Salyut” polygraph with the aid of a tube of original design. It has been discovered that intracavitary pressure in the stomach and duodenum is biphasic in nature and that it may change not only in different diseases but also at different motility types. The changes discovered should be taken into account in administering adequate therapy.

Klin Khir. 1993;(11):18-20.  

 

The use of laser radiation for correcting cholesterol metabolic disorders in gallstones

[Article in Russian]

Grubnik VV, Zolotareva TA, Kiselev VA.

The authors have demonstrated in the experiment that under the influence of irradiation of the liver by means of a semiconductor laser with a wavelength of 890 nm, pronounced activation of its microsomal system occurs. The data obtained have become a basis for the development and introduction in the clinic in 96 patients of a technique of laser correction of hypercholesterolemia. A good therapeutic effect has been noted in all the patients.

THE USAGE OF INFRA-RED LASER IN THE TREATMENT OF CHOLELITHIASIS

V. Lebedev, V. Erhova

Stavropolskaya Medical Academy, Sanatorium “Metallurg”, Essentuky

A series of repeated ultrasonography of gall-bladder in a group of tested patients suffering from cholelithiasis which had undergone different types of physiotherapy revealed a change in bile’s echogenic characteristics, the correlation of this index with bile’s litho-genesis. The change in bile’s density under the influence of intermittent infrared laser (1RL) was studied on these patients. The 1st group (45 patients) took 10 daily procedures of irradiation on the skin projection of the gall-bladder. The treatment was carried out with matrix radiator ML01K of the apparatus “Mustang-021? (“Technics”, Russia), 0,89 urn wavelength, frequency 1500-3000 Hz, pulse power 50 W. The 2-nd group (47 per-sons) took 150-200 ml of mineral water “Essentuky-4? (MW) 30 min before meal 3 times a day. All tested patients were subjected to the ultrasonography prior to the treatment’s beginning and in 24 hours after the treatment. The obtained result demonstrated a high level in the decrease of bile’s density of the tested patients after the influence of 1RL (p<0,05). The 3 rd group (32 persons) united patients (suffering from the same disease) which had took MW and had undergone IRL according to the described methods. Laser influence was applied in 15 min after 2 ND dose of MW. The quantity of compatible pro-cedures was 10. When the treatment of the 3rd group had been completed, ultrasonogra-phy revealed a more high level in the decrease of bile’s density (p<0,05). In all groups pa-tients’ clinical symptoms quickly improved. 11 patients from the 1 st. and the 3rd groups (8,4 %) suffered from transitory pain in the area of cholecyst during the treatment (be-tween 5-8 courses). The pain disappeared independently, (the treatment hadn’t been de-layed) and we explained this additional effect as sand passing and the movement of bili-ary concrement. Under the conditions of balneotherapy, it’s worth while the patients suf-fering from cholelitiasis will be treated by IRL according to our methods (MW+IRL) for normalization of gall-bladder function, decrease of bile’s lithogenesis and display of cho-langenitis.