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. Â PATHOGENESIS
1. violation of the functional state of the hepatocyte and hence â
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 325Â mg and the use of
digestive enzymes caused improvement in one case.[5]