Liver tubage

Liver tubage (or biliary procedure, biliary excretion, biliary tubage, choleretic tubage, gallbladder tubage) is a procedure aimed at cleansing the biliary tract and gallbladder of stones and bile plugs, as well as at stimulating the secretion of bile. It can be performed for medical purposes or as a preventive measure. The procedure is usually performed by a specialist, such as a gastroenterologist or surgeon, and can be done in a clinic or hospital.

Indications for the procedure

It may be prescribed in the following cases:

1. Gallstone disease: Diuretic tubage can be used to treat and prevent the formation of gallstones or to facilitate their removal. It may be particularly useful for patients who have small gallstones and need to avoid surgery.
2. Bile Reflux: This procedure can help with symptoms associated with bile reflux, when bile returns from the duodenum to the stomach, which can cause discomfort and reflux disease.
3. Diagnosis of biliary diseases: Liver tubing can also be used to determine the composition of bile and assess gallbladder function, which helps in the diagnosis of cholelithiasis and other biliary diseases.
4. Symptoms of gallbladder dysfunction: If a patient is experiencing gallbladder pain or other symptoms related to gallbladder dysfunction, liver tubing can help improve the function of this organ and relieve symptoms.
5. Preparing for surgery: In some cases, biliary tubage may be done before surgical removal of the gallbladder (cholecystectomy) to prepare for surgery.

Preparation

Below are the general steps to prepare for choleretic tubage:

1. Consultation with your doctor: Before performing biliary tubage, you should consult with your doctor, who will tell you about the procedure, explain its purpose and indications, and answer your questions.
2. Informed consent: The procedure should only be performed after your informed consent has been obtained. Your doctor must explain all aspects of the procedure to you, including possible risks and expected results.
3. Allergy Prevention: If you have known allergies to medications or other substances, tell your doctor to prevent allergic reactions to the medications used.
4. Overnight fasting: Usually before choleretic tubage you are advised not to eat anything (fast) after midnight on the day of the procedure. This is to maximize the concentration of bile in the gallbladder.
5. Discontinuing medications: If you are taking any medications, check with your doctor to see if you need to temporarily stop taking them before the procedure. Some medicines may affect the results and safety of choleretic tubing.
6. Doctor's Visit: In some cases, your doctor may recommend that you have a checkup before your procedure to assess your health and clarify additional preparation details.
7. Accompaniment: Usually after a biliary tube may take a little time for the patient to recover. You may need someone to accompany you after the procedure and help you get home.

Preparation for choleretic tubage may vary slightly depending on your doctor's instructions and the medical facility where the procedure will be performed. Therefore, it is important to follow the instructions of your doctor and medical staff.

Technique of the tubage

The liver tubage procedure is usually performed by medical professionals such as gastroenterologists or surgeons in a clinical setting. Here is the general technique for performing it:

1. Patient Preparation:

   • The patient is explained the purpose of the procedure and cautioned not to consume food or liquids after midnight before the procedure.
   • May perform preliminary blood tests and imaging tests, such as ultrasound or x-rays, to evaluate the biliary tract and liver.

2. Introduction of the cannula:

   • The patient is usually given a choice between endoscopic tubing and nasogastric tubing.
   • In the case of endoscopic tubing, the patient is given anesthesia in the throat and a thin, flexible tube (endoscope) is inserted through the mouth to reach the gallbladder.
   • In the case of nasogastric tubing, the cannula is inserted through the nostrils and passed through the stomach into the duodenum.

3. Tubage procedure:

   • A special solution is injected through a cannula, which may contain choleretic substances such as magnesium salt or other drugs.
   • The solution helps to relax the bile ducts and promotes the excretion of stones and bile from the gallbladder and liver into the duodenum.

4. Collection of bile and stones:

   • Bile and stones, if present, are passed through a cannula and collected in a special container for analysis.

5. Completion of the procedure:

   • Once the biliary tract and gallbladder have been sufficiently cleared, the procedure is completed and the cannula is removed.

The liver tubage procedure can be a little uncomfortable and is performed under medical supervision. It can be used to diagnose or treat a variety of gallbladder and bile duct conditions, including cholelithiasis.

It is important to note that the technique may vary slightly depending on the specific clinic and medical professional performing the procedure. The patient is provided with the necessary instructions and information prior to the procedure.

Liver tubage with mineral water

Liver tubage with mineral water is a medical procedure to cleanse and stimulate the gallbladder and biliary tract by injecting mineral water into the esophagus and stomach. This method is sometimes used to treat gallstone disease and other biliary tract disorders. Here is the general technique of liver tubage with mineral water:

1. Patient Preparation:

   • The patient usually lies on his or her back on a treatment table or couch and wears hospital gowns.

2. Introduction of medical mineral water:

   • Medical mineral water is administered through a special sonda or probe into the patient's esophagus and then the stomach. This water contains minerals and components that can help soften and drain bile from the gallbladder and biliary tract.

3. Gallbladder massage:

   • During the procedure, the doctor may massage the gallbladder area to stimulate its contractions and facilitate the excretion of bile.

4. Extraction of mineral water and bile:

   • After some time, the mineral water and bile are extracted from the stomach through a special collection system.

5. Post-procedure care:

   • The patient may remain under observation for some time after the procedure to make sure there are no complications.

Techniques for liver tubage with mineral water may vary slightly depending on medical practice and clinic protocols. The procedure is usually performed by experienced professionals and may require the use of mineral water infusion and bile collection equipment. It is important that liver tubage with mineral water is performed according to medical and safety standards.

Magnesia liver tubage.

Magnesia liver tubage, also known as magnesium tubage, is a medical procedure that uses magnesium salt (usually magnesium sulfate) to cleanse the gallbladder and biliary tract. This method can be used to treat gallstone disease or to prepare for other medical procedures.

Here is the general technique for performing liver tubage with magnesia:

1. Patient Preparation:

   • The patient usually wears hospital gowns and lies on his or her back on a treatment table or couch.

2. Introduction of magnesium salt:

   • Magnesium salt (magnesium sulfate) is dissolved in warm water and administered through a special sonda or probe into the patient's stomach. Magnesium salt can cause a sharp action on the intestines and stimulate gallbladder contractions.

3. Gallbladder massage:

   • During the procedure, the doctor may massage the gallbladder area to stimulate its contractions and facilitate the excretion of bile.

4. Extraction of mineral water and bile:

   • After some time, the magnesium salt and bile are extracted from the stomach through a special collection system.

5. Post-procedure care:

   • The patient may remain under observation for some time after the procedure to make sure there are no complications.

Magnesium tubage can be performed for a variety of medical purposes, but it should be performed by experienced professionals in accordance with medical standards and safety protocols. Techniques may vary slightly depending on medical practice and clinical needs. The procedure can only be prescribed and supervised by a physician.

Liver tubage with sorbitol

Sorbitol liver tubing is a procedure that uses sorbitol (sugar alcohol) to stimulate the gallbladder and bile ducts to cleanse and relieve symptoms of gallstone disease or other biliary system disorders. This method may be used to treat or prepare for other medical procedures.

Here is the general technique for performing liver tubage with sorbitol:

1. Patient Preparation:

   • The patient puts on hospital gowns and lies on his or her back on a treatment table or couch.

2. Introduction of sorbitol:

   • Sorbitol is dissolved in warm water and introduced through a special sonda or probe into the patient's stomach. Sorbitol has properties that promote gallbladder contractions and the excretion of bile.

3. Gallbladder massage:

   • During the procedure, the doctor may massage the gallbladder area to stimulate its contractions and facilitate the excretion of bile.

4. Extraction of sorbitol and bile:

   • After some time, sorbitol and bile are extracted from the stomach through a special collection system.

5. Post-procedure care:

   • The patient may remain under observation for some time after the procedure to make sure there are no complications.

The technique of liver tubage with sorbitol may vary slightly depending on medical practice and clinical needs. The procedure should be performed by experienced professionals following medical standards and safety protocols. It can only be prescribed and supervised by a physician.

Tubage of the liver with olive oil and lemon

The liver tubage procedure using olive oil and lemon, also known as "olive tubage", is a method sometimes used in alternative medicine or folk medicine to cleanse the gallbladder and biliary tract. However, it is worth noting that this procedure has no scientific evidence to support its effectiveness and may not be safe. You should discuss such a procedure with a qualified physician before considering it.

The technique for performing olive tubage may include the following steps:

1. Mortar Preparation:

   • Usually olive oil and freshly squeezed lemon juice are used. Both ingredients are mixed in certain proportions.

2. Patient Preparation:

   • The patient may require preparation, including fasting (abstaining from food) before the procedure.

3. Solution Introduction:

   • The patient drinks a mixture of olive oil and lemon juice.

4. Posture and massage:

   • After taking the solution, the patient may adopt a certain body position, such as lying on the right side, to facilitate the movement of bile. Abdominal massage may also be part of the procedure.

5. Cleansing:

   • The procedure may be accompanied by unpleasant symptoms such as nausea, vomiting or diarrhea, which are considered part of the cleansing process.

This method is not recommended without consulting a medical professional. More traditional and evidence-based treatments for gallstone disease and other biliary tract conditions are usually preferable and safer. If you have gallbladder or biliary tract problems, it is important to see your doctor for evaluation and treatment.

Liver tubage with a heating pad

This is an alternative method of liver tubage procedure that can be performed at home. This method uses heat to relax the bile ducts and stimulate the removal of bile and stones from the gallbladder and liver.

Here's how liver tubage with a heating pad is done:

1. Preparing the heating pad: You will need a heating pad filled with hot water. The heating pad should be hot enough to cause a feeling of warmth, but not so hot as to cause a burn.
2. Patientpreparation: The patient lies on the right side. The heating pad is then placed on the upper abdomen, approximately in the right upper quadrant where the gallbladder is located.
3. Action of the heating pad: The heat from the heating pad helps to relax the bile ducts and promote bile flow. The patient remains in this position with the heating pad for a certain amount of time, usually about 20-30 minutes.
4. Completion of the procedure: After the time is up, the heating pad is removed and the patient may remain lying down for a period of time.

Liver Tubage with a heating pad can be performed as a measure to relieve symptoms of cholelithiasis or biliary dyskinesia. However, keep in mind that this method is not a substitute for medical advice and monitoring. If you have problems with your biliary system, cholelithiasis or other conditions, be sure to discuss this method with your doctor.

Before performing liver tubage with a heating pad, make sure that you have no medical contraindications and that your doctor approves of this method.

Liver Tubage with Herbs

Is one of the methods of alternative medicine, which involves cleansing the gallbladder and biliary tract. However, it is worth noting that this procedure has no scientific evidence to support its effectiveness, and its safety and benefits may be questionable. If you are considering herbal liver tubage, you should discuss it with a qualified physician and follow their recommendations.

The herbal liver tubage procedure usually involves the following steps:

1. Preparatory Diet: The patient may be instructed to follow a specific diet for several days prior to the procedure. This may include eating light and low-fat foods.
2. Preparing an herbal infusion: Herbal infusions such as yarrow, lemon balm, mint and other herbs are commonly used for the procedure. The infusion is prepared according to the recipe.
3. Gradual increase in the dose of the infusion: The patient is instructed to start with small doses of the herbal infusion and gradually increase the amount over several days.
4. Oil Consumption: Some herbal liver tubing techniques also recommend the consumption of vegetable oil, such as olive oil, to stimulate gallbladder contraction and bile excretion.
5. Rest and observation: After using the herbs and oil, the patient may be advised to lie on the right side and remain in this position for several hours.

Herbal liver tubing can cause various side effects including nausea, vomiting, diarrhea, abdominal pain, and even allergic reactions to herbs. In addition, there is no scientific basis for the effectiveness of this procedure.

Before you decide to venture into herbal liver tubage, it is important to consult your doctor and get his medical advice.

Contraindications to the procedure

Liver Tubage is a medical procedure and may have contraindications. Before performing liver tubage, you should consult with your doctor or gastroenterologist to make sure that this method is appropriate for your particular case. Below are some of the common contraindications for liver tubage:

1. Active biliarydisease: If you have active biliary tract disease with acute symptoms such as acute jaundice, biliary colic, or acute pancreatitis, liver tubing may be undesirable or even dangerous.
2. Allergy or intolerance to magnesium: Magnesium is often used in the liver tubage procedure. If you are allergic to magnesium or have a low tolerance to magnesium, this may be a contraindication.
3. Serious liver disease or complications: If you have serious liver disease, such as cirrhosis or hepatitis, or liver-related complications, liver tubing may require special attention and specialist supervision.
4. Pregnancy: Liver Tubage is not recommended during pregnancy unless strictly necessary and medically indicated.
5. Kidney failure: If you have serious kidney problems, this may also require caution when performing liver tubage.

These are just a few common contraindications, and the ultimate decision about liver tubing should be made by your doctor based on your medical condition and symptoms.

Consequences after the procedure

Liver tubage with sorbitol or any other gallbladder procedure can have various effects and side effects. It is important to note that reactions can vary depending on the individual patient and the procedure performed. The following are some of the possible effects after liver tubing:

1. Pain or discomfort: Some patients may experience discomfort or pain in the abdominal area after tubage, especially if gallbladder contractions have been stimulated during the procedure. These are often temporary symptoms and should gradually subside.
2. Frequent urination: Sorbitol used in tubage may cause profuse urination, which is a normal reaction. Patients may feel the need to go to the toilet frequently.
3. Changes in stools: Some patients may experience changes in their stools, including diarrhea or more frequent trips to the bathroom, after Tubage. These changes are usually temporary.
4. Changes in appetite: Some people may experience a temporary decrease in appetite after the procedure.
5. Allergic Reactions: In rare cases, an allergic reaction to sorbitol or other ingredients used in the procedure may occur. Symptoms may include itching, skin rash, swelling and even anapylaxis in extremely rare cases.
6. Complications: Although liver tubing is considered a relatively safe procedure, there is a small risk of complications such as infections, organ damage, or incomplete removal of gallstones.

It is important to follow your doctor's advice and report any unusual or worsening symptoms after you have had tubage. If serious symptoms such as severe abdominal pain, fever or bleeding occur, you should seek medical attention immediately.

Complications after the procedure

Liver tubage, whether performed using oil, herbs or other methods, can cause a variety of complications and side effects. These complications can vary depending on the individual characteristics of the patient, the specifics of the procedure, and the conditions under which it is performed. Some of the possible complications after liver tubing include:

1. Nausea and vomiting: One of the most common side effects after liver tubing. The patient may experience nausea and vomiting for several hours or even days after the procedure.
2. Diarrhea: Some patients may experience diarrhea after liver tubing.
3. Abdominal pain: Many patients experience abdominal discomfort and pain, especially in the upper right quadrant.
4. Allergic reactions: If herbal infusions or other ingredients are used, allergic reactions to one or more of them may occur.
5. Increased body temperature: Some patients report an increase in body temperature after liver tubing.
6. Exacerbation of existing diseases: In patients with existing gallbladder, liver or gastrointestinal diseases, Tubage may cause exacerbation of symptoms.
7. Intra-abdominal bleeding or infections: Although these are rare complications, tubage can sometimes lead to more serious problems such as intra-abdominal bleeding or infections.
8. Electrolyte imbalance: Electrolyte imbalance in the body may occur after tubage.

It is important to note that liver tubage is a procedure that is not scientifically proven and effective, and its safety and benefits have not been proven. You should always discuss this procedure with a qualified physician and consider all risks and side effects before deciding to undergo such a procedure. If you experience any complications after liver tubing, contact your doctor immediately to evaluate your condition and receive medical attention.

Care after the procedure

After a liver tubage procedure, it is important to follow certain care measures to ensure your body recovers properly and to avoid complications. Here are some recommendations for care after liver tubing:

1. Rest and recovery: After the treatment, give your body time to recover. Rest for the rest of the day. If the procedure was performed in a hospital, you may require supervision and care by medical personnel before discharge.
2. Nutrition: After liver tubing, you may be asked to follow a diet for some time. Follow your doctor's dietary recommendations and avoid foods that are too fatty or heavy, which can negatively affect the biliary system.
3. Drinking: Drink enough water to prevent dehydration. This will also help thin the bile and promote its normal excretion.
4. Use of pain medication: If you experience pain or discomfort after the procedure, discuss with your doctor whether pain medication can be taken and, if so, at what dosage.
5. Avoid heavy physical activity: Refrain from lifting weights and avoid strenuous exercise for several days after liver tubing.
6. Follow yourdoctor's recommendations: It is important to follow all recommendations and prescriptions given by your doctor after the procedure. This includes using any prescribed medications and following any dietary restrictions.
7. Watch for symptoms: If you experience any unusual or worsening symptoms such as fever, bleeding, severe pain, or severe nausea and vomiting, be sure to see your doctor immediately.

Remember that each case is different and recommendations may vary depending on your medical condition and the procedure performed.

Literature

• Evgeny Shchadilov: Cleaning the liver at home. AST, 2005.
• Alexei Sadov: Cleaning of the liver and kidneys. Modern and traditional methods. Peter, 2012.