Билиарный сладж: диагностика и лечение в условиях поликлиники

The purpose of the study to develop a diagnostic and management tactics for patients with biliary sludge (BS) in an outpatient setting. The study included 115 patients who, according to the ultrasound revealed a BS. Own methodological approach used by ultrasound scan of the gall bladder and the interpretation of ultrasonographic BS types : Type 1 (suspension echo-positive particles) was set at 59.1%, type 2 ( low level of mobile like putty echo-positive bile) 23.5%, 3 type (like putty bile in the form of mobile and / or fixed clots ) 17.4%. For the treatment of BS used drugs ursodeoxycholic acid. The daily dosage depends upon the type BS. For the treatment of type 1 requires a minimum of 1 month, 2 types not less than 3 months. Sludge was the most resistant type 3, which is the duration of treatment was 6-12 months or more. Allocation of risk factors forming the BS is the basis for the formation of risk groups and prevention activities (including pharmacotherapeutic).