КЛИНИЧЕСКИЕ ПРОЯВЛЕНИЯ ЖЕЛЧНОКАМЕННОЙ БОЛЕЗНИ У СЕЛЬСКИХ ЖИТЕЛЕЙ РЕСПУБЛИКИ САХА (ЯКУТИЯ)

Abstract

In recent years, cholelithiasis has been significantly increasing not only in elderly people, but in middle and young people of the most working age. We are the first to analyze in-depth comprehensive studies of rural residents of Western Yakutia. The entire adult population of two villages was invited to the survey, from which those who completely filled out the questionnaire were selected for the study. The search criteria were previously diagnosed cholelithiasis and ultrasound data of the abdominal organs. Gallstone disease is generally asymptomatic. Persons with cholelithiasis are significantly more likely to have poor tolerance to fatty and fried foods. The appearance of pain in the epigastric region, in the right hypochondrium in persons with cholelithiasis was noted after an error in food, consumption of fatty, fried and spicy foods. People after cholecystectomy tolerate fatty foods better, but more often report pain in the left hypochondrium and girdle pain compared to the general population, which may be associated with the development of biliary pancreatitis, due to the close anatomical and physiological connection with the pancreas. Painful and dyspeptic symptoms were reliably often noted by persons after cholecystectomy. The severity of pain and dyspeptic complaints in people after cholecystectomy is probably associated with a violation of the usual diet with limited fat and simple carbohydrates after surgical treatment. People with cholelithiasis significantly more often than the general population experience stool disorders in the form of diarrhea and constipation. Some risk factors for cholelithiasis in rural residents are modifiable, which requires preventive and therapeutic measures among the population.