CONDUCT OF MEDICAL EXAMINATIONS TO DIAGNOSE THE PATHOLOGY OF THE LIVER AND BILIARY SYSTEM
https://doi.org/10.21886/2219-8075-2016-4-12-17
Abstract
Objective: to explore the possibility of diagnosis of hepatobiliary pathology at the medical examination of employees. Materials and methods: inspection data, questionnaires, ultrasound of the hepatobiliary system 141 people including 93 women and 48 men, ranging in age from 22 to 74 years were analyzed. Esophagogastroduodenoscopy, identification of Helicobacter pylori, biochemical blood analysis (glucose, cholesterol, total bilirubine its fractions, alanine aminotransferase, aspartate aminotransferase, γ-glutamyl transpeptidase, fibrinogen), FibroTest, research of a feces on eggs of helminths, Giardia, fecal occult blood were performed when required. Results: the medical examination revealed: GIT (70.2%), hepatic steatosis (24.1%), periportal fibrosis was (17.7%), cholesterols gallbladder (9.2%), gallstones (7.8%), chronic cholecystitis (5.7%), liver cyst (4.9%), hemangioma of the liver (4.3%), gallbladder polyp (2.1%), and comorbidities of the pancreas, upper digestive tube. The pathology observed in individuals of working age. Conclusions: carrying out of additional prophylactic medical examinations improves diagnosis, quality of health interventions without interruption from work.
About the Author
N. I. Beylina
Kazan state medical Academy
Russian Federation
Russian Federation
11 Mushtari st., Kazan, 420012, Tatarstan, e-mail: nataliabeylina@mail.ru
References
1. Gastroyеnterologijа i gepatologijа: diagnostika i lechenie: rukovodstvo сЩа vrachei / pod red. A.V. Kalinina, A.F. Loginova, A.I. Hazanova. 2 e izd. Moscow: MEDpress-inform; 2011.864 p. (In Russ).
2. Loranskajа, I.D. Funkcional'nye rasstroistva biliarnogo trakta. Moscow: Forte print; 2013. 92 p. (In Russ).
3. Gastroyеnterologijа. Nacional'noe rukovodstvo: kratkoe izdanie/ Pod red. V. T. Ivashkina, T.L. Lapinoi. Moscow: GYeOTAR-Media; 2011. 480 p. (In Russ).
4. Gerok V., Blyum H. E. Zabolevanijа pecheni i zhelchevydelitel'noi sistemy. Moscow: MEDpress-inform; 2009. 199 p. (In Russ).
5. SHiff YU.R., Sorrel M.F., Myеddrei U.S. Vvedenie v gepatologiyu: rukovodstvo. Perevod s angl. pod red. V.T.Ivashkina, A.O.Bueverova, M.V.Maevskoi. Moscow: GYeOTAR-Media; 2011. 704 p. (In Russ).
6. Diagnostika i lechenie nealkogol'noi zhirovoi bolezni pecheni / pod red. V.T. Ivashkina. Moscow: MEDnepress-inform; 2012. 32 p. (In Russ).
7. Yeliseyeva LN, Budashova TM, Dolganova TYu, Bocharnikova MI. Features of diagnostics of nonalcoholic fatty liver disease in clinical practice. Rossiiskie medicinskie vesti. 2009; 14(1):31-36. (In Russ).
8. Maev IV, Kuznecova EI, Andreev DN, Dicheva DT. Sovremennye i perspektivnye podhody k diagnostike nealkogol'noi zhirovoi bolezni pecheni. Consilium Medicum. 2015;17(8):20-27. (In Russ).
9. Polunina T.E., Maev I.V. Nealkogol'najа zhirovajа bolezn' pecheni: yеpidemiologijа, patogenez, diagnostika, lechenie. Consilium medicum. Gastroyеnterologijа. 2012; 1:35-40. (In Russ).
10. Stepanov YUM, Didenko VI. Sovremennye podhody k verifikacii fibroza pecheni. Zdorov'jа Ukra'ini. 2013;18(319):16-17. (In Ukr).
11. Siddharth S, Alina MA, Zhen W, Larry JP, Mohammad HM, Rohit L. Fibrosis progression in nonalcoholic fatty liver vs nonalcoholic steatohepatitis: a systematic review and meta-analysis of paired-biopsy studies. Clin. Gastroenterol. Hepatol. 2015;13(4):P. 643654. DOI: http://dx.doi.org/10.1016/j.cgh.2014.04.014
12. Ulumbekova G.Ye. Zdravoohranenie Rossii. CHto nado delat'. Nauchnoe obosnovanie «Strategii гаетйца zdravoohranenijа RF do 2020 goda.» Kratkajа vers^. Moscow: GYeOTAR-Media, 2010. 96p.
13. Lekhan V, Rudiy V, Richardson E. Ukraine: Health system review. Health Systems in Transition. 2010; 12(8):1-183
14. 14. Richardson E, Malakhova I, Novik I, Famenka A. Belarus: health system review. Health Systems in Transition. 2013; 15(5):1-118.
15. Sandier S, Paris V, Polton D. Health care systems in transition: France. Copenhagen, WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies, 2004.147 p.
16. Savas, B. Serdar et al. In: Thomson, S. and Mossialos, E., eds. Heath care systems in transition: Turkey. Copenhagen, European Observatory on Health Care Systems, 2002 Vol.4. N4. 11.
Review
For citations:
Beylina N.I. CONDUCT OF MEDICAL EXAMINATIONS TO DIAGNOSE THE PATHOLOGY OF THE LIVER AND BILIARY SYSTEM. Medical Herald of the South of Russia. 2016;(4):12-17. (In Russ.) https://doi.org/10.21886/2219-8075-2016-4-12-17
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