In the overview article discusses: the prevalence of cholelithiasis, the frequency of the related surgical interventions, controversial problems with terminology, the concept of “biliary sludge”. Brief information about the elements of cholelithiasis; etiology and pathogenesis of postcholecystectomy syndrome - PHES and its definition; different approaches to the definition of its nature, the working classification of PHES. Specify modern methods of diagnosis PHES. Discusses in detail the contemporary possibilities of pharmacotherapy and their effectiveness, indications for surgical treatment and basic preventive measures.

Purpose. Definition of features of a periodontal tissues at patients with postgastrectomy disturbances and predictors of progression periodontal diseases Material and methods. The examination of 42 patients with a disease of the operated stomach and chronic generalized periodontitis at the age of 29-58 years is conducted. Endoscopic, radiological, morphological examination is conducted. Material processed statistically. Results. Clinical features of a periodontal disease against the background of the postgastrectomy disturbances are the expressed inflammatory reaction in periodontal tissues, deep periodontal pockets, suppuration from them, appreciable mobility of teeth, plentiful tooth deposits, erosions of an enamel. Predictors of emergence and advance of a periodontal disease after a resection of a stomach are disturbance of evacuation from a stomach stump, the expression of an enterogastro-ezofageal reflux, general dystrophic changes in an organism caused by malabsorption. Conclusion. Achievement of permanent remission in treatment of patients with comorbid pathology requires joint approach of gastroenterologists and stomatologists.