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Hepatologist

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Chronic cholecystitis: classification

Alexey Portnov, medical expert
Last reviewed: 19.10.2021

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There is no generally accepted classification of chronic cholecystitis. The most modern and complete is the classification of Ya. S. Zimmermann.

On etiology and pathogenesis.

Bacterial.
Viral.
Parasitic.
Non-microbial ("aseptic", immunogenic).
Allergic.
"Enzymatic".
Unexplained etiology.

On clinical forms.

Chronic galloping cholecystitis.
With the predominance of the inflammatory process.
With the predominance of diskinetic phenomena.
Chronic calculous cholecystitis.

By the type of dyskinesias.

Violation of the contractile function of the gallbladder.
1. Hyperkinesis of the gallbladder.
2. Hypokinesis of the gallbladder - without changing its tone (normotonia), with a decrease in tone (hypotension).
Violation of the tone of the sphincter apparatus of the bile ducts:
1. Hypertonus of the sphincter of Oddi.
2. Hypertension of the sphincter of Lutkens.
3. Hypertonus of both sphincters.

By the nature of the current.

Rarely recurrent (favorable course).
Often recurrent (persistent current).
Constant (monotonic) flow.
Masking (atypical current).

On the phases of the disease.

The phase of exacerbation (decompensation).
Phase of fading exacerbation (subcompensation).
The phase of remission (compensation - persistent, unstable).

Main clinical syndromes.

Painful.
Diseptic.
Vegetative dystonia.
Right-hand reactive (irrational).
Premenstrual tension.
Solar.
Cardial (cholecystic-cardial).
Neurotic-neurotic.
Allergic.

Degrees of gravity.

Lightweight
Of moderate severity.
Heavy.

Complications.

Reactive pancreatitis (cholepancreatitis).
Diseases of the digestive system
Reactive hepatitis.
Pericholecystitis.
Chronic duodenitis and periduodenitis.
Chronic duodenal stasis.
Other.

trusted-source [1], [2], [3], [4], [5], [6], [7]

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