[Biliary tract in patients with chronic viral hepatitides].
OBJECTIVE
To characterize motor-kinetic and inflammatory changes in extrahepatic biliary tracts and gallbladder in patients with chronic viral hepatitis (CVH). To ascertain whether there is a pathogenetic correlation between affection of the biliary system and viral infection.


METHODS
The condition of the biliary tract was examined in 183 patients with CVH using fractionated duodenal tubing with biochemical tests and bacteriological investigation of bile, dynamic ultrasonic investigation.


RESULTS
69.9% patients were diagnosed to have dysfunction of the Oddi's sphyncter caused by its hypertonicity, 4.4% patients had hypotonic sphyncter. Hyper- and hypotonicity of the gallbladder were observed in 45.8 and 20.8% patients, respectively. Biliary dysfunction was associated with the process activity but not with a nosological form of the disease. Chronic acalculous cholecystitis was verified in 21.2% patients.


CONCLUSIONS
Chronic HBV and HCV infections are accompanied with biliary dysfunctions associated with activity of inflammation in the liver. Oddi's sphincter dysfunction in CVH is a risk factor of gallbladder inflammation.
Pal'tsev
A I
AI
Osipenko
M F
MF
Voloshina
N B
NB
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001659:Biliary Tract / Q000000981:diagnostic imaging / Q000503:physiopathology*; D005260:Female; D016473:Gallbladder Emptying / Q000502:physiology; D019694:Hepatitis B, Chronic / Q000150:complications* / Q000503:physiopathology; D019698:Hepatitis C, Chronic / Q000150:complications* / Q000503:physiopathology; D019701:Hepatitis D, Chronic / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012720:Severity of Illness Index; D009803:Sphincter of Oddi / Q000000981:diagnostic imaging / Q000503:physiopathology; D046628:Sphincter of Oddi Dysfunction / Q000209:etiology* / Q000503:physiopathology; D014463:Ultrasonography