[Effects of magnetic laser therapy on the gastroduodenal system of patients with chronic acalculous cholecystitis]. / Vliianie magnitno-lazernoi terapii na sostoianie gastroduodenal'noi sistemy u bol'nykh khronicheskim nekal'kuleznym kholetsistitom.

BACKGROUND: The inflammatory process in the hepatobiliary system contributes to the development and progression of pathological changes in the adjacent digestive organs. The data available in the literature suggest that laser radiation and magnetic therapy are effective in treating hepatobiliary diseases. AIM: To evaluate the effects of magnetic laser radiation on the status of gastroduodenal organs in patients with chronic acalculous cholecystitis. SUBJECTS AND METHODS: Fifty patients with chronic acalculous cholecystitis, mostly women, were followed up; their mean age was 44±8 years (36 to 56 years); the disease duration was 6±1.5 years. The patients were randomized into 2 groups: 1) a comparison group (n=20) and 2) a study group (n=30). Both groups were homogeneous for sex, age, disease duration and severity. The basic treatment included the oral intake of Jermuk mineral water according to the generally accepted scheme, acupuncture, iodine-bromine baths, massage of the collar area, exercise therapy, and, if indicated, therapeutic enemas. During the basic treatment, the patients in the study group were prescribed magnetic laser radiation to the right subcostal area. Results were assessed at 20-22 days after treatment. RESULTS: The performed treatment resulted in positive clinical changes and improvement in the indicators characterizing the status of gastroduodenal organs. CONCLUSION: The studies have established that rehabilitation in patients with chronic acalculous cholecystitis along with laser radiation contributes to positive clinical changes and improvement in the status of the gastroduodenal system. There is a tendency to normalize acid-forming function and morphological state of the gastric and duodenal mucosa.

[Dynamics of the intestinal biocenosis, indicators of the blood lipid profile, antioxidant system, and energy metabolism in the patients presenting with chronic non-calculous cholecystitis under the influence of the therapeutic physical factors in the combination with probiotics]. / Dinamika biotsenoza kishechnika, pokazatelei lipidnogo spektra krovi, antioksidantnoi sistemy i énergeticheskogo obmena u bol'nykh khronicheskim nekal'kuleznym kholetsistitom pod vliianiem fizicheskikh faktorov i probiotikov.

The present study included 60 patients presenting with chronic non-calculous cholecystitis and intestinal dysbiosis. It has been demonstrated that the application of the 'Nor Narine' probiotic in the combination with 'Djermuk' hydrocarbon sodium sulfate mineral water and the pre-formed physical factors, in the first place the magnetic laser radiation, increases the effectiveness of the rehabilitative treatment of the patients. Such treatment resulted not only in the positive dynamics of the clinical picture of disease but also in the well apparent marked tendency toward normalization of the intestinal biocenosis, the lipid blood spectrum, the antioxidant system, and the energetic exchange.