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Experimental and Clinical Gastroenterology

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Features of bile acid metabolism in patients with cholelithiasis

https://doi.org/10.31146/1682-8658-ecg-198-2-54-63

Abstract

Despite the success of medicine, the problem of cholelithiasis does not lose its relevance, the prevalence of the disease is constantly growing, it’s “rejuvenation” is observed. The leading place in the pathogenesis of cholelithiasis is occupied by an excess of cholesterol in the bile, a lack of bile acids and a change in their ratio. This article discusses the role of bile acids in individual parts of the metabolism and the features of bile acid metabolism in cholelithiasis. The article also presents the results of an original study, during which the levels of bile acids in the blood plasma and in the cystic bile of patients with cholelithiasis were determined by chromatography-mass spectrometry.

About the Authors

Yu. A. Fominykh
Saint-Petersburg State Pediatric Medical University; Pavlov First Saint Petersburg State Medical University
Russian Federation


K. N. Nadzhafova
Saint-Petersburg State Pediatric Medical University
Russian Federation


G. G. Rodionov
The Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia
Russian Federation


I. I. Shantyr
The Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia
Russian Federation


E. V. Svetkina
The Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia
Russian Federation


I. A. Gorbacheva
Pavlov First Saint Petersburg State Medical University
Russian Federation


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Fominykh Yu.A., Nadzhafova K.N., Rodionov G.G., Shantyr I.I., Svetkina E.V., Gorbacheva I.A. Features of bile acid metabolism in patients with cholelithiasis. Experimental and Clinical Gastroenterology. 2022;(2):54-63. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-198-2-54-63

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