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Functional biliary disorders
Oleg Shvets
National Medical University named after O.O.Bogomolets, Kyiv.
The functional biliary disorders (FBD) are pooled motor disorders, which could be also associated with metabolic problems. It is necessary to exclude organic causes of symptoms in FBD as in other functional disorders. Biliary pain attacks, which are leading clinical sign of FBD, should not be connected to biliary stones, sludge or microlithiasis. The visual diagnostic tools aren’t enough to establish diagnosis of FBD unlike in organic biliary diseases. The most precise approaches used in recent studies are CCK-stimulated cholescintigraphy with detection of the gallbladder ejection fraction and manometry of sphincter of Oddi. The tactic of management of patients with FBD should be personalized and varied from conservative therapy to endoscopy and surgery. The elimination of biliary pain is predetermined by diagnosis’ accuracy and absence of other reasons of symptoms in patient.
Key words. Functional biliary disorders, biliary pain, stimulated cholescintigraphy, gallbladder ejection fraction, manometry of the sphincter of Oddi, cholecystectomy, endoscopic sphincterotomy.