In 40% cases pain and dyspepsia do not disappear after cholecystectomy made by laparotomic or laparoscopic method. The aim of the study was to introduce a new method of ultrasonic diagnosis of biliary excretion and to formulate principles of postcholecystectomy syndrome treatment depending on the dyskinesia form. The new method diagnosed 6 variants of biliary excretion: normal (7.2%), hypokinetic (42.8%), hypertonic (28.3%), hypertonic-hypokinetic (5.0%), hyperkinetic (14.5%), hypertonic-hyperkinetic (2.2%). The patients received differentiated treatment depending on the type of biliary excretion. The results of such spa treatment were much better than the results of standard therapy.
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