Abstract:
Background: Gallstones represent a common and costly health problem and calculous cholecystitis is the most prevalent gastroenterological disease
which requires a surgical treatment. The changing epidemiology of gallstone disease is reflected by a marked shift in its composition and necessitates
the definition of target populations for future non-surgical and surgical therapies. The pathogenesis of gallstone disease is suggested to be multifactorial
and many risk factors are not modifiable such as ethnic background, increasing age, female gender and family history or genetics. Classification of
gallbladder stones and analysis of the clinical characteristics of each type of stone provide a theoretical basis for the study of the formation mecanism of
different types of gallblader stones. By virtue of their active role in the enterohepatic circulation of bile salts, impaired gallbladder empting and infection
transit not only contribute to the „lithogenic” state, but also perpetuate it.
Conclusions: It is revalued the role of infection in etiopathogenesis of cholestasis through the current concepts of lithogenesis. It is concluded that any
disturbance of the activity of the gallbladder may not be reflected in terms of etiopathogenetic on the hepato-bilio-pancreatic area and biliary cholelithiasis
is not an exception in this regard.
Description:
Department of Surgery No 2, Nicolae Testemitsanu State University of Medicine and Pharmacy, Chisinau, the Republic of Moldova