2. Biliary Dyskinesia
• a violation of the flow of bile into the duodenum due to muscular
motility disorders of biliary tract and cause pain in the right upper
quadrant.
• OR
• biliary dyskinesia is the disturbance in the coordination of peristaltic
contraction of the biliary ducts, and/or reduction in the speed of
emptying of the biliary tree into the duodenum.
• SS
• SYMPTOMS
Epigastric/RUQ pain
Nausea/vomiting
Fatty food intolerance
Painless jaundice
Pancreatitis
Epigastric/RUQ pain
Nausea/vomiting
Fatty food intolerance
Painless jaundice
Pancreatitis
3. Etiology
Identify the following factors leading to biliary dyskinesia (DGP):
- Neuro-circulatory dysfunction of various origins;
- Transferred acute viral hepatitis;
- Constitutional characteristics of the child with vegetative dystonia and a
sedentary lifestyle;
- Neuroses;
- Food allergy, atopic diathesis;
- Any chronic pathologies of the gastrointestinal tract (especially inflammatory);
- Parasitosis of the gastrointestinal tract, especially giardiasis;
- A genetic predisposition, although it is probably more often than not comes
down to family lifestyle factors such as nutrition;
- Chronic foci of infection
in the body (ENT pathology);
- Poisoning, Ecopathology
, prolonged abuse of nutritiona
l products industrial canning;
- Endocrine diseases
(obesity, hyperthyroidism, diabetes
mellitus).
Etiology
Identify the following factors leading to biliary dyskinesia (DGP):
- Neuro-circulatory dysfunction of various origins;
- Transferred acute viral hepatitis;
- Constitutional characteristics of the child with vegetative dystonia and a
sedentary lifestyle;
- Neuroses;
- Food allergy, atopic diathesis;
- Any chronic pathologies of the gastrointestinal tract (especially inflammatory);
- Parasitosis of the gastrointestinal tract, especially giardiasis;
- A genetic predisposition, although it is probably more often than not comes
down to family lifestyle factors such as nutrition;
- Chronic foci of infection
in the body (ENT pathology);
- Poisoning, Ecopathology
, prolonged abuse of nutritiona
l products industrial canning;
- Endocrine diseases
(obesity, hyperthyroidism, diabetes
mellitus).
4. PATHOGENESIS
1. violation of the functional state of the hepatocyte and hence –
diskholiya (change in the composition of bile);
2. violation of the regulation of neurogenic muscular wall of GB as the
central (neuro-circulatory dysfunction,
neurosis) and peripheral (in the pathology of the gastrointestinal tract by
type viscero-visceral reflexes interoceptors) genesis.
• diagnosis
• Ultrasound
• Radionucleide gallbladder
• emptying study (with CCK)
• Hepatobiliary scan
Treatment
Laparoscopic cholecystectomy
proton pump inhibitors.[4]
Osteopathic treatment,
oral magnesium supplementation with 325 mg and the use of
digestive enzymes caused improvement in one case.[5]