The worldwide incidence of gallbladder disease is highly variable. Identification of metabolic alterations like cholesterol metabolism or free radicals may provide insight into the formation of gallstones and provide a basis for prognostic markers. The aim of the study was to identify the pathogenesis and prognostic value of metabolic disorders in gallstone formation in menopausal women. Methods: Menopause-aged women with (group I, 58 patients) and without gallstone disease (group II, 25 patients) were investigated. In each group blood lipid metabolism and blood redox parameters (free Mn 2+ -ions) and antioxidant system activity (ceruloplasmine/Fe 3+ -transferrin) were studied using micro enzymatic method and Electron Pramagnetic Resonance (EPR) spectroscopy. Surgically removed gall bladder stones were studied by routine laboratory methods (cholesterol and bilirubin content) and EPR spectroscopy.
Within the framework of the educational and research project "Real Clinical Practice of Treatment of Acid-Dependent Diseases", H. pylori-associated pathology and their dynamics after the eradication the nature and severity of clinical manifestations were evaluated. In the analysis 1,474 patients were included aged 18 to 87 years old (average age 45.7 years) with confirmed H. pylori infection, who were observed on an outpatient basis in 188 doctors in Moscow, the Moscow Region and St. Petersburg. Diagnosis of H. pylori and subsequent eradication control were carried out with the use of methods available in real clinical practice. The severity of symptoms was assessed using “7×7” Questionnaire (seven symptoms for seven days). On the first visit, the average score was 12.5, on the second 4.5, and on the third 1.7 points. The significant relationship between smoking and the severity of dyspeptic manifestations was revealed. Rabeprazole was the most commonly prescribed proton pump inhibitor (84.3%) in the eradication regimens.
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