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To ground the surgical technic and pathognomic postoperative management some etiopathogenetic problems of acute cholecystitis have been studied. The gallbladder contents and abdominal cavity exudate and their effect upon the amylase activity and microflora have been analyzed. The analysis has shown that in the pathogenesis of acute cholecystitis in elderly and senile patients the fermentative component plays an important part, which results in a rapid destruction of the gallbladder against the background of vascular disorders. Such cases need an earlier decompression of the biliary tract and the postoperative management should be aimed at the suppression of pancreatic secretion. As to the majority of the cases of acute cholecystitis, which not infrequently possesses some features of a longlasting chronic process, the operation should be postponed till inflammatory manifestations subside.
E A Apsatarov, and
T P Belozerova
January 1987,
Sovetskaia meditsina,
E A Apsatarov, and
T P Belozerova
June 1976,
Klinicheskaia khirurgiia,
E A Apsatarov, and
T P Belozerova
February 1986,
Khirurgiia,
E A Apsatarov, and
T P Belozerova
January 1971,
Zeitschrift fur Gastroenterologie,
E A Apsatarov, and
T P Belozerova
January 1971,
Zeitschrift fur Gastroenterologie,
E A Apsatarov, and
T P Belozerova
January 1974,
Tijdschrift voor gastro-enterologie,
E A Apsatarov, and
T P Belozerova
March 1986,
Vrachebnoe delo,
E A Apsatarov, and
T P Belozerova
January 1984,
Acta chirurgica Scandinavica,
E A Apsatarov, and
T P Belozerova
June 2008,
The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases,
