What is an ultrasound of the gallbladder with determination of function? Ultrasound examination (ultrasound) of the gallbladder with determination of function

3 Edition

Ultrasound of the gallbladder is performed on an empty stomach: adults - fast for 8 hours, do not drink or smoke for 3 hours; children under 3 years old - fasting for 4 hours, from 3 to 12 years old - fasting for 6 hours.

When food from the stomach enters the duodenum, gallbladder contracts and secretes bile. Biliary dyskinesia is uncoordinated contraction/relaxation.

At hypomotor dyskinesia Heaviness in the right side, sometimes bitterness in the mouth and nausea are common; due to stagnation of bile, the liver is enlarged.

At hypermotor dyskinesia often paroxysmal pain in the right hypochondrium after fatty and spicy foods, sometimes from brisk walking and running.

The contractility of the gallbladder depends on the tension of the wall and the play of the sphincters. The functioning of the gallbladder can be assessed by ultrasound after a choleretic “breakfast”.

It is convenient to use Hofitol 20% as a choleretic agent: children under 10 years old - 1 ml per year of life, over 10 years old and adults - 10-20 ml. To distinguish the stomach, the medicine is washed down with water.

Before the gallbladder begins to contract, ultrasound is performed continuously, then every 8-10 minutes. The common bile duct and gallbladder volume are measured.

Gallbladder volume: V=D*B²*0.523, where D is the length, and B is the height in the longitudinal section.

Gallbladder reaction to choleretic agent

• Type 1 - uniform contraction up to 30 minutes, relaxation at 40 minutes;
• Type 2 - contraction for up to 15 minutes, then persistent relaxation;
• Type 3 - very weak contraction, the volume remains almost unchanged or increases slowly;
• Type 4 - relaxation up to 15 minutes, reduction between 15-30 minutes, relaxation at 40 minutes;
• Type 5 - contraction up to 15 minutes, relaxation and contraction again, persistent relaxation at 40 minutes.

Types 4 and 5, where phases of contraction and relaxation alternate, can be considered as manifestations of instability of the motor function of the gallbladder.

Impaired gastric emptying can slow down the process of bile secretion, and hypomotor dyskinesia is then mistakenly diagnosed. biliary tract.

Function of the gallbladder and bile duct sphincters

– from taking a choleretic drug to the minimum volume of the gallbladder; normally 20-40 minutes.

Latent period– from taking a choleretic drug to the beginning of gallbladder contraction; Normally up to 5 minutes.

Primary reaction– increase in the volume of the gallbladder during the latent period.

Duration of contraction– from the beginning of contraction to the minimum volume of the gallbladder; normally 15-30 minutes.

Ejection fraction– PV(%)=(1-Vmin/Vmax)*100%, where Vmin is the minimum and Vmax is the maximum volume; normal is 40-70%.

Common bile duct 60 minutes after exercise: the dilated duct contracts - dyskinesia with spasm of the sphincter of Oddi is likely; the duct dilated even more, pain appeared - stenosis of the sphincter of Oddi is likely.

Conclusion

Timely emptying— time of maximum contraction 20-40 minutes:

• dysfunction of the gallbladder is not determined;
• weak contraction of the gallbladder due to sphincter insufficiency;
• strong contraction of the gallbladder with sphincter spasm.

Faster emptying- time of maximum contraction less than 20 minutes:

• sphincter insufficiency;
• strong contraction of the gallbladder.

Slow emptying— time of maximum contraction more than 40 minutes:

• sphincter spasm;
• weak contraction of the gallbladder.

Ultrasound protocol of the gallbladder with determination of function

Problem 1

A 10-year-old girl complains of periodic abdominal pain, unrelated to food intake.

Gallbladder on an empty stomach: The topography has not been changed. The shape is a bend in a funnel. The walls are not changed. The contents are homogeneous, there are no stones. Perivesicular tissues are not changed. Choleretic “breakfast” – Chofitol 20% 10 ml.

Time of maximum contraction– from taking a choleretic drug to the minimum volume of the gallbladder (N 20-40 minutes): 25 minutes.

Latent period

Primary reaction

Duration of contraction

Ejection fraction– PV(%)=(1-Vmin/Vmax)*100%, where Vmin is the minimum and Vmax is the maximum volume (N 40-70%): 44%.

Conclusion: Timely emptying of the gallbladder. At the time of the study, gallbladder dysfunction was not determined.

Problem 2

An 8-year-old boy complains of abdominal cramps after eating.

Gallbladder on an empty stomach: The topography has not been changed. Shape – S-bend. The walls are not changed. The contents are homogeneous, there are no stones. Perivesicular tissues are not changed. Choleretic “breakfast” – Chofitol 20% 8 ml. After taking the medicine, nausea and abdominal pain appeared.

Time of maximum contraction– from taking a choleretic drug to the minimum volume of the gallbladder (N 20-40 minutes): 20 minutes.

Latent period– from the moment of taking the choleretic drug until the start of contraction of the gallbladder (N up to 5 minutes): up to 5 minutes.

Primary reaction– increase in the volume of the gallbladder during the latent period: absent.

Duration of contraction– from the beginning of contraction to the minimum volume of the gallbladder (N 15-30 minutes): 15 minutes.

Ejection fraction

Conclusion: Accelerated emptying of the gallbladder due to strong contraction of the muscle wall.

Problem 3

A 6-year-old boy complains of pain around the navel after eating.

Gallbladder on an empty stomach: The topography has not been changed. The shape is a bend in a funnel. The walls are not changed. The contents are homogeneous, there are no stones. Perivesicular tissues are not changed. Choleretic “breakfast” – Chofitol 20% 6 ml.

Time of maximum contraction– from taking a choleretic drug to the minimum volume of the gallbladder (N 20-40 minutes): 40 minutes.

Latent period– from the moment of taking the choleretic drug until the start of contraction of the gallbladder (N up to 5 minutes): 15-20 minutes.

Primary reaction– increase in the volume of the gallbladder during the latent period: +24%.

Duration of contraction– from the beginning of contraction to the minimum volume of the gallbladder (N 15-30 minutes): 20-25 minutes.

Ejection fraction– PV(%)=(1-Vmin/Vmax)*100%, where Vmin is the minimum and Vmax is the maximum volume (N 40-70%): 57%.

Conclusion: Timely emptying of the gallbladder with a slow start, sphincter spasm is likely.

Problem 4

A 3-year-old girl complains of a tendency to constipation. It is necessary to exclude the hypomotor variant of JVP.

Gallbladder on an empty stomach: The topography has not been changed. Shape – S-bend. The walls are not changed. Contents – small quantity fine suspended matter, no stones. Perivesicular tissues are not changed. Choleretic “breakfast” – Chofitol 20% 3 ml.

Time of maximum contraction– from taking a choleretic drug to the minimum volume of the gallbladder (N 20-40 minutes): 35 minutes.

Latent period– from the moment of taking the choleretic drug to the beginning of gallbladder contraction (N up to 5 minutes): more than 15 minutes.

Primary reaction– increase in the volume of the gallbladder during the latent period: +25%.

Duration of contraction– from the beginning of contraction to the minimum volume of the gallbladder (N 15-30 minutes): 20 minutes.

Ejection fraction– PV(%)=(1-Vmin/Vmax)*100%, where Vmin is the minimum and Vmax is the maximum volume (N 40-70%): 47%.

Conclusion: Timely emptying of the gallbladder with a slow start. Probably a strong contraction of the wall during sphincter spasm. There was no evidence of hypomotor dyskinesia at the time of the study.

Problem 5

A 15-year-old boy complains of abdominal pain after eating, nausea and bitter taste in the mouth in the morning. On ultrasound, the size of the liver is at the upper limit of normal.

Gallbladder on an empty stomach: The topography has not been changed. The shape is a bend in a funnel. The walls are not changed. The contents are homogeneous, there are no stones. Perivesicular tissues are not changed. Choleretic “breakfast” – Chofitol 20% 15 ml.

Time of maximum contraction

Latent period– from the moment of taking the choleretic drug until the start of contraction of the gallbladder (N up to 5 minutes): up to 5 minutes.

Primary reaction– increase in the volume of the gallbladder during the latent period: absent.

Duration of contraction– from the beginning of contraction to the minimum volume of the gallbladder (N 15-30 minutes): 45 minutes.

Ejection fraction– PV(%)=(1-Vmin/Vmax)*100%, where Vmin is the minimum and Vmax is the maximum volume (N 40-70%): 43%.

Conclusion: Slow emptying of the gallbladder. Probably the combined effect of hypotension of the muscle wall with sphincter spasm.

Problem 6

A 15-year-old boy complains of abdominal cramps in the morning after breakfast.

Gallbladder on an empty stomach: The topography has not been changed. The shape is a bend in a funnel. The walls are not changed. Contents – level of fine suspended matter, no stones. Perivesicular tissues are not changed. Choleretic “breakfast” – Chofitol 20% 15 ml. After taking the medicine, he feels discomfort in his stomach.

Time of maximum contraction– from taking a choleretic drug to the minimum volume of the gallbladder (N 20-40 minutes): 50 minutes.

Latent period– from the moment of taking the choleretic drug to the start of contraction of the gallbladder (N up to 5 minutes): more than 20 minutes.

Primary reaction– increase in the volume of the gallbladder during the latent period: +14%.

Duration of contraction– from the beginning of contraction to the minimum volume of the gallbladder (N 15-30 minutes): 30 minutes.

Ejection fraction– PV(%)=(1-Vmin/Vmax)*100%, where Vmin is the minimum and Vmax is the maximum volume (N 40-70%): 50%.

Conclusion: Instability of the motor function of the gallbladder: delayed start, delayed emptying, alternating phases of contraction and relaxation. A spasm of the bile duct sphincters is likely. Echo signs of dyscholia.

Problem 7

A 6-year-old girl complains of abdominal pain.

Gallbladder on an empty stomach: The topography has not been changed. The shape is a pronounced S-bend. The walls are not changed. The content is homogeneous, no stones. Perivesicular tissues are not changed. Choleretic “breakfast” – Chofitol 20% 5 ml. From the 20th minute the girl complains of severe pain near the navel, at 75 minutes the pain became calmer, mild pain persists until the end of the study.

Time of maximum contraction– from taking a choleretic drug to the minimum volume of the gallbladder (N 20-40 minutes): main portion in 15 minutes.

Latent period– from the moment of taking the choleretic drug until the start of contraction of the gallbladder (N up to 5 minutes): up to 5 minutes.

Primary reaction– increase in the volume of the gallbladder during the latent period: absent.

Duration of contraction– from the beginning of contraction to the minimum volume of the gallbladder (N 15-30 minutes): main portion in 10 minutes.

Ejection fraction– PV(%)=(1-Vmin/Vmax)*100%, where Vmin is the minimum and Vmax is the maximum volume (N 40-70%): 91%.

Conclusion: Instability of the motor function of the gallbladder: accelerated emptying, then another episode of contraction with a pronounced pain attack, relaxation is significantly slower. The pain is probably caused by strong contraction of the muscular wall of the gallbladder and difficulty in relaxing; the influence of the ugly shape of the organ cannot be excluded. Sphincter spasm was not detected at the time of the study.

Take care of yourself, Your Diagnosticer!

Ultrasound of the gallbladder with determination of function is a diagnostic method that allows you to determine the condition of the gallbladder, evaluate its parameters and identify various diseases of this organ. The essence of the study is that it is carried out in several stages: before breakfast (on an empty stomach) and after breakfast. This method allows you to trace the processes that occur in the gallbladder.

Ultrasound with determination of function is considered the safest way to obtain data on the condition of an organ and the processes occurring in it. The main advantage of ultrasound examination is that it allows you to obtain comprehensive information about the organ. It also does not provide harmful effects on the body, does not cause pain, it can be carried out repeatedly.

In what cases is a functional study prescribed?

Sometimes an ultrasound of the gallbladder is prescribed as part of general examination body. However, more often patients are referred for diagnostics if they experience unpleasant symptoms, for example:

• Pain under the ribs on the right side of the abdomen.
• Bitter taste in the mouth.
• Intoxication of the body.
• Dietary disorders (frequent consumption of fatty, fried and spicy foods).
• Yellowness of the mucous membranes and skin.

Patients with the following diseases are also referred for ultrasound examination:

• Pancreatitis.
• Stones or sand in the gallbladder.
• Suspicion of cholecystitis.
• Suspicion of abnormal development of the gallbladder.

Often sent for ultrasound after injuries abdominal cavity to ascertain whether the gallbladder is affected and prescribe appropriate treatment.

How to prepare for a functional ultrasound

Ultrasound of the gallbladder, in particular, with a functional test, requires preparation. Without it, diagnostic results may be inaccurate and may not show the true condition of the organ. You need to start preparing in advance. It includes several stages.

A few days before the test

The patient should avoid the use of sharp and fatty foods food 2-3 days before the procedure. It is not recommended to eat fried foods. It is also necessary to remove from the diet foods that make it difficult to cleanse the intestines and cause gas formation, for example: bread and other yeast products, legumes, carbonated drinks, fermented milk products, raw vegetables and fruits.

During this period you can eat:

• Chicken.
• Beef.
• Fish.
• Porridge.
• Vegetable soups.
• Soups with low-fat broth.

This diet must be followed to facilitate the process of digesting food and not overload the gastrointestinal tract.

Also at this time you should stop drinking any alcoholic beverages.

The day before the test

On the day of the study

If the ultrasound is scheduled for the morning, then you will have to stop eating altogether. If the study is scheduled for the afternoon, you can eat light breakfast. However, the break between breakfast and ultrasound should be at least 8 hours. You should stop drinking liquids 3-4 hours before the procedure, and it is also recommended to refrain from smoking.

It is important to comply with these requirements, otherwise the ultrasound results may be incorrect. The study should be carried out on an empty stomach, since in this state the bladder is completely filled with bile. If you eat something or drink a little water, bile will begin to be released, and the bladder will immediately decrease, which will not allow it to be fully diagnosed.

How is ultrasound performed to determine function?

A functional ultrasound takes about an hour. First, the study is carried out on an empty stomach, then with a choleretic breakfast. This breakfast may include two egg yolks(raw or cooked). You can replace them with 250 grams of full-fat sour cream, cottage cheese or cream. Ultrasound of the gallbladder with a load is carried out in several stages:

• after 5–10 minutes;
• in 20 minutes;
• in 40–45 minutes.

Functional examination can be performed in different positions. The patient usually lies on their back or side, but sometimes they may need to stand or sit. The doctor applies a special gel to the device’s sensor, which performs a conductive function. The procedure is completely painless for the patient. Its duration is about 1 hour.

Contraindications for carrying out ultrasound examination not available. It can be carried out for both adults and children. If the patient has already undergone an ultrasound scan, it is worth taking the results with you. Then the doctor will be able to monitor the dynamics and changes in the condition of the organ.

Functional examination in children

Preparation for an ultrasound to determine function in small patients is a little different. Children under 1 year old cannot withstand such a long break between meals. Therefore, it is recommended to feed them no later than 3 hours before the ultrasound.

A child from 1 to 3 years old should stop eating 4 hours before the examination.

When preparing for an ultrasound of children over 3 years of age, you can follow the same recommendations as for adults.

Children tolerate the examination well because it is painless and fairly quick.

Survey results

After a choleretic breakfast, the organ begins to decrease in size. A normal indicator is a decrease of 40–60% of the original volume.

The procedure allows you to determine the function of the gallbladder, such as contractility. Using ultrasound diagnostics you can also evaluate:

• Organ shape.
• Dimensions in longitudinal and cross section.
• Volume.
• Wall thickness.
• Location.
• Mobility.
• Diameter of the bile ducts.
• Signs of bile thickening.

Presence of stones.

Based on these parameters, conclusions can be drawn about the health of the gallbladder. Normal values ​​for an adult:

• Organ length: from 4 to 13 cm.
• Organ width: from 3 to 5 cm.
• Volume: from 21 to 25 ml.
• Wall thickness: about 2 mm.

Conclusion

Ultrasound with functional test is painless and the most exact method gallbladder examinations.

Using it you can: identify diseases of the organ, identify deviations in development, determine the current state of the organ, monitor how the organ performs its functions.

Before the examination it is important:

• Follow a diet.
• Do not eat food 8 hours before the examination.
• Prepare and take a choleretic breakfast with you.

This procedure can be performed for both adults and children. It has no contraindications.

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Function determination is the only non-invasive method that makes it possible to most accurately determine the condition of an organ. The advantages of this diagnosis are the high reliability and safety of the study.

Sound examination with function determination is carried out in real time by a linear scanning device.

This procedure allows you to accurately determine the size and functional capabilities of the organ.

How is an ultrasound examination of the gallbladder performed?

Most often, ultrasound is prescribed to determine bile duct dyskinesia. This method allows us to identify five degrees of disease development.

In addition, the procedure may be recommended for:

• cholecystitis;
• stones;
• cholecystocholangitis;
• long-term use medicines;
• frequent pain in the area of ​​the right hypochondrium;
• yellowness of the skin;
• abdominal injuries;

• dyskinesia;
• chemical intoxication;
• if a malignant tumor is suspected.

During the procedure, the maximum size of the organ in cross and longitudinal sections, its location, contractile capabilities, diameter of the ducts, and the presence of formations are determined. Subsequently, based on these indicators, the condition of the walls and channels of the bladder is determined.

The research is carried out in four stages. The first examination of the patient is done on an empty stomach, the second - after consuming a choleretic breakfast, the third and fourth times the examination is done with an interval of 15 - 30 minutes.

The patient is examined in two positions: the first time when the person lies on his back, the second time on his side. If necessary, the procedure can be additionally performed in a sitting or standing position.

If the gallbladder does not have any abnormalities, its indicators will be as follows:

• length from seven to ten centimeters;
• width from three to five centimeters;

• size in diameter from three to three and a half centimeters;
• volume from thirty to seventy cubic centimeters;
• the wall thickness does not exceed four millimeters;
• The diameter of the common bile duct ranges from six to eight millimeters.

In addition, the bile-storing organ should have a pear-shaped or oval shape and clear contours.

Normal organ motility is confirmed if, forty minutes after the choleretic load, the bladder has shrunk by sixty percent.

With all deviations from the above indicators, we can talk about the presence of a disease.

Preparation for the procedure

The main difference between ultrasound of a bile-storing organ with determination of function from a conventional examination is that this procedure allows one to evaluate the functional change of the organ over time.

It is carried out in a hospital and requires certain preparation.

Stages of preparation for ultrasound:

1. A week before the examination, you should give up vegetables, fruits, alcohol, milk, soy, bread, beans, cheese, peas, and yeast baked goods. That is, from everything that contributes to gas formation.
2. Three days before the ultrasound, enzyme preparations and agents that reduce gas formation are prescribed.
3. In the evening before the procedure, only a light dinner is allowed, but no later than 20:00. It is best to prepare unsweetened, lean porridge. If the patient suffers from constipation, a laxative should be taken twelve hours before the examination.

In some cases, before an ultrasound examination, cleansing enema. But such an event is not necessary and is justified by the fact that during the procedure the intestines can obscure the bile-storing organ.

Preparing for a functional examination of a child has its own nuances.

The doctor may not prescribe the use of enzyme preparations. In addition, infants are allowed to feed three hours before the procedure, three-year-olds - four, eight-year-olds - six.

Older children are prepared in the same way as adults.

Ultrasound of the gallbladder helps identify the following diseases:

• Acute cholecystitis. An ultrasound examination reveals thickening of the walls, an increase in the size of the organ, multiple internal septa, and increased blood flow in the bile artery.
• Chronic cholecystitis. With this pathology, the size of the organ decreases, the walls become denser and deformed, the contours in the image are unclear, and there are small inclusions in the lumen.
• . With this disease, the doctor observes bending of the organ, thickening of the walls and an increase in their tone.

• Cholelithiasis. In the case of gallstone pathology, the formations shift when the body position changes, a dark area is observed behind the stone, there is a crystalline sediment, the walls are thickened, and the contours are deformed.
• Polyps. Round formations are visible on the wall of the organ.
• Oncology. If there malignant formations the monitor will show elements larger than one centimeter, the contours of an organ of irregular shape, and too thick walls.

All functional deviations detected during an ultrasound examination necessarily require clarification and monitoring over time.

In this regard, two weeks after the first procedure, a repeat examination is scheduled.

Ultrasound

Ultrasonography is a visualization method based on the use of high-frequency sound waves to obtain cross-sectional images of the body. An ultrasound machine consists of the following components: a monitor, a keyboard, a processor, a data storage device, and a transducer or transducer.

More than 35 types of ultrasound examinations

In our clinic, studies are carried out using modern high-precision equipment. Research is carried out only experienced doctors.

Ultrasound can be conventional, real-time, or Doppler. Doppler ultrasound is performed to examine blood vessels using the Doppler effect.

Advantages of performing ultrasound in our clinic:

Preparing for ultrasound diagnostics

For most studies, no special preparation is required. There are some contraindications:

• - ultrasound examination cannot be performed on the same day after radiography, gastrointestinal
• - and colonoscopy. You should donate blood for research before the ultrasound procedure.

Some types of ultrasound that require preparation:

• - Ultrasound of the uterus and appendages;
• - Ultrasound of the bladder;
• - Ultrasound of the mammary glands;
• - Ultrasound of the prostate gland;
• - Ultrasound of the abdominal organs.

Our doctors

Bolotova Irina Gennadievna

Specialization: General practitioner, cardiologist/CMN

Work experience: 30 years

Odintsovo Central District Hospital - intern doctor, local doctor. Main Military Clinical Hospital named after Burden - coordinator of the cardiology department, head. endocrinology office of the advisory center. Medical Center of the Bank of Russia - head of the VIP patient therapy department. Polyclinic of the Main Directorate of the Bank of Russia in Moscow.

Education:

Diploma in general medicine from PSU - 1987.
Postgraduate studies at RUDN - defense of a dissertation for the degree of Candidate of Medical Sciences in 2001.
Certificate courses in therapy - the last one in 2014, cardiology, endocrinology.

Conducts diagnosis and treatment of diseases of the cardiovascular, respiratory, endocrine, and digestive systems. Selection of therapy for patients with concomitant pathology.

Scientific activity:

Management of patients in hospital and outpatient settings. Performs a primary comprehensive examination to determine risk factors for the development of chronic diseases and compilation individual plan correcting them. Uses modern diagnostic methods with interpretation of all types of laboratory, radiation and functional examination methods.

Kokina Olga Nikolaevana

Specialization: Endocrinologist

Work experience: 7 years

Education: 2002-2008 – Volgograd State Medical University (VolSMU), Faculty of Medicine.
2009 – an advanced course in clinical endocrinology at the workplace in the department of therapy and pathology of metabolism of the Federal State Institution Scientific Center under the program “Organization and conduct of training schools for patients with obesity.”
2010 - an advanced course in clinical endocrinology in the workplace at the department of the Institute of Diabetes of the Federal State Institution Scientific Center under the program “Organization and conduct of schools for training patients with diabetes mellitus”
2008-2010 – clinical residency at the Federal State Institution Endocrinology Research Center (ERC), full course of study in the specialty of endocrinology. Advanced training, access to implementation medical activities in the specialty of endocrinology 05/26/2015 - 06/23/2015 on the basis of the Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation. Advanced training "Examination of temporary disability and quality control of medical care" 02/24/2016 - 03/24/2016 on the basis of the First Medical State University named after I.M. Sechenov.

Area of ​​professional interests:

Diagnosis of distal diabetic polyneuropathy (impaired sensitivity of the feet), diagnosis of the cardiovascular form of diabetic autonomic neuropathy. Prevention, diagnosis and treatment of endocrine pathology (disease thyroid gland: nodular goiter, focal changes, autoimmune thyroiditis, hypothyroidism, thyrotoxicosis, observation after surgery, counseling patients before massage and physiotherapy of the cervical-collar area, diabetes mellitus, including the development of an individual nutrition plan and selection of optimal therapy, hypoparathyroidism, hyperparathyroidism, hormone-producing pituitary tumors, diabetes insipidus, adrenal tumors, arterial hypertension endocrine genesis, endogenous hypercortisolism, adrenal insufficiency, osteoporosis in women and men, age-related androgen deficiency in men, vitamin D deficiency, weight correction through the development of an individual nutrition plan, counseling women planning pregnancy and pregnant women with endocrine pathology, screening for the presence of endocrine pathology before and during pregnancy. Drawing up a “sex formula” for adolescents during medical examination. Primary consultation for children over 5 years old with newly diagnosed endocrine pathology, prevention of thyroid pathology in children. Diseases that the doctor treats, at least 10 names: Nodular goiter, hypothyroidism, thyrotoxicosis, autoimmune thyroiditis, gestational hypothyroidism, Graves' disease (Graves' disease), hypoparathyroidism, hyperparathyroidism, osteoporosis, pheochromocytoma, aldosteroma, Itsenko-Cushing disease, Itsenko-Cushing syndrome, ACTH-ectopic syndrome, adrenal insufficiency, prolactinoma, stomatotropinoma, diabetes insipidus, diabetes mellitus, obesity, osteoporosis, osteopenia, hypopituitarism, hypogonadism. Does the doctor advise on these diseases, if we are talking about a child? Drawing up a “sex formula” for adolescents during medical examination. Primary consultation for children over 5 years old with newly diagnosed endocrine pathology, prevention of thyroid pathology in children, prevention of vitamin D deficiency, development of a weight loss program.

Scientific activity:

Participation in professional associations, conferences; regular participation in conferences and schools for endocrinologists.

Dashieva Elena Innokentievna

Specialization: Endoscopist

Work experience: 16 years of experience

2003-2004 surgeon at the State Budgetary Healthcare Institution Zaigraevskaya Central District Hospital Onokhoiskaya District Hospital of the Republic of Buryatia.
2003-2004 surgeon at the State Budgetary Healthcare Institution Zaigraevskaya Central District Hospital Onokhoiskaya District Hospital of the Republic of Buryatia.

2004-2008 surgeon at the Muya Central Regional Hospital of the Republic of Buryatia.
2008-2012 endoscopist at the State Budgetary Healthcare Institution City Hospital No. 2 of Chita.
2012-2013 endoscopist at the State Budgetary Healthcare Institution City Clinic No. 1 of Ulan-Ude, Republic of Buryatia.
2013-2015 - endoscopist at the Republican Oncology Dispensary of the Republic of Tyva.
2015-2016 endoscopist at the State Budgetary Healthcare Institution City Hospital No. 4 of Ulan-Ude, Republic of Buryatia.
2016-2017 - surgeon at the State Budgetary Healthcare Institution Zaigraevskaya Central District Hospital Novo-Bryansk Hospital of the Republic of Buryatia.
2017 to present: endoscopist at Moscow Doctor LLC, Moscow.

Education:

1996-2002 studying at the Cheta State Medical Academy, majoring in pediatrics.
2002-2003 internship in surgery in Ulan-Ude emergency hospital.
2008-2009 Faculty of advanced training and professional retraining of specialists at ChSMA, Chita, professional retraining in the specialty of endoscopist.
2012 Certification cycle in surgery, Department of Postgraduate Education, BSU, Ulan-Ude.
2014 Certification cycle in endoscopy - Novokuznetsk state institute improvement of doctors of the Ministry of Health and social development Russian Federation - endoscopist.
2017 Certification cycle of surgery - Department of Postgraduate Education of the BSU, Ulan-Ude.

Area of ​​professional interests:

Surgical treatment, endoscopic diagnosis of planned and emergency pathology (gastroscopy, sigmoidoscopy, colonoscopy, bronchoscopy, cystoscopy), maintaining medical records, monitoring the use of endoscopic equipment.

Sidakov M.T.

Specialization: "Orthopedic dentistry"

Work experience: 17 years

Education: In 1998 he graduated from the Faculty of Dentistry of the Tver Medical Academy.
From 1998 to 1999 he completed a clinical internship.
From 2000 to 2002 completed his residency at the dental clinic of the TSMA, specializing in dentist-orthodontist.
Completed specialized courses in endodontics, microinvasion and caries prevention, lingual orthodontic technique.
In 2013, he attended the course “Fundamentals of decision making in implantology: surgical and orthopedic aspects” Nobel Biocare.

Scientific activity:

In 2012 he took part in a master class for Ph.D. Chikunova S.O. and master technician Nikonenko D.M. on the topic: Adhesive ceramic restorations. In 2013, he took part in a lecture by a University professor (UCLA), head of the Center Aesthetic Dentistry, member international group ART ORAL by Edward McLaren. DDS, MDC on the topic: “Aesthetic ceramics - the art of passion” (veneers, inlays, onlays).

Ryasova E.K.

Specialization: Dentist-therapist

Work experience: More than 5 years

Education:

2004 – Omsk State Medical Academy, majoring in dentistry, completed a one-year specialization in dentistry. Advanced training/courses.
2009-Course " Modern techniques in endodontic treatment, nickel-titanium technologies”, Moscow.
2009-seminar on teeth whitening and master class with the ZOOM clinical system, Discus Dental, Moscow
2010-Participation in the conference “Direct aesthetic restoration of the anterior group of teeth using composite materials” Moscow, Dentsply.
2010-Specialization in therapeutic dentistry GOU DPO RMAPO ROSZDRAVA 144 hours.
2010-Specialization in orthopedic dentistry at the Federal State Educational Institution Institute for Advanced Studies of the Federal Medical and Biological Agency of Russia, 576 hours.
2010 Master class - “Fiberglass reinforcement of composite restorations in everyday practice, adhesive splinting of teeth.” Proteko, Moscow.
2011-Course “Retreatment, clinical decisions and techniques”, Solomonov, Moscow.
2011-Theoretical and practical course “Microscope, working with an endodontic microscope”, Rome, Nicola Grande, Gianluco Plotino

Information:

I conduct therapeutic appointments in full - endodontic preparation for prosthetics, restorations, whitening, professional hygiene, not complex deletions, I work on an endodontic microscope.

Eremin D.S.

Specialization: Implantologist, dentist

Work experience: More than 5 years

Education:

2011-2013 - Clinical residency in the specialty "Surgical Dentistry" at the department " Clinical dentistry and implantology" of the Federal State Budgetary Educational Institution of Additional Professional Education "Institute for Advanced Studies of the Federal Medical and Biological Agency", Moscow.

2008 - Graduated from the Far Eastern State Medical University in Khabarovsk.

2008-2009 - Internship in the specialty “General Dentistry” on the basis of the Medical Institution SP No. 25 “Den-Tal-Iz”, Khabarovsk.

2014 - Participant in the scientific and practical seminar "Bone grafting" Lecturer: Khabiev K.N. Moscow city.

2015 - Features of working with the ANKYLOS DENTSPLY FRIADENT implantation system, certificate Lecturers: Shatarov D.M. and Dovbnev V.A. Moscow city.

2015 - Participated in a round table on the topic “Biological, physiological and mechanical causes of pericervical tissue recession, affecting the reduction in the prognosis of prosthetics supported by dental implants” Lecturer: Ilya Fridman, Moscow.

2015 - Practical course on the ASTRA TECH implant system, certificate Lecturers: Kirill Polyakov and Renat Ayubov, Moscow.

2015 - Completed the theoretical course “Complex clinical situations in implantology and periodontal surgery, ways to solve them using modern biomaterials” Lecturer: Dudin M.A. Moscow city.

2015 - Course on "Planning implantological operations 3D modeling. Manufacturing surgical templates. Features and advantages of the CORTEX line of implants. Installation of CORTEX implants. Lecturers: Filinov D, Ozhigov E, Rarov A, Pryadilshchikov A. Moscow.

2016 - Participant in the lecture-practical course "Achieving an aesthetic result when eliminating gum recession - comparative analysis surgical methods"Lecturer: Fevraleva A.Yu. Moscow.

2016 - Took part in the practical and theoretical course “Bone grafting at a dental appointment” Lecturers: Urazbakhtin I.I. and Ponomarev O.Yu. Saint Petersburg.

Information

Specialization: all types of outpatient surgical interventions: simple and complex tooth extractions; hemisection and amputation of tooth roots, alveolotomy, resection of the root apex, cystectomy, removal of benign tumors. Implantology: installation of implants Astra Tech, Nobel, Straumann, Ankylos, Impro, Luna, BioHorizons, Alpha-Bio, Mis, Xive Friadent, Implantium, Adin, Biomet, Osstem. Open and closed sinus lifting, restoration bone tissue using a titanium mesh, horizontal osteotomy, sosage technique, guided bone regeneration, splitting of the alveolar process using piezo instruments, the use of a-prf, i-prf. Periodontal surgery: vestibuloplasty, frenuloplasty, gingivoplasty, closed and open curettage‚ patchwork operations to close gum recession in the area of ​​the tooth and implant, change the biotype of the gum, create a zone of attached gum.

Magomedov M.O.

Specialization: Orthopedic dentist

Work experience: 7 years

Education:

2015 Peoples' Friendship University of Russia
Dentistry: Orthopedic
Full-time/Full-time education
Professional retraining in the specialty of orthopedic dentistry 540 hours

2014 Dagestan State Medical Academy
Dentistry-therapeutic
Full-time/Full-time education
Professional retraining in therapeutic dentistry 540 hours

2011 Dagestan State Medical Academy
Dentistry - general profile
Full-time/Full-time education
Internship in general specialty

2010 Dagestan State Medical Academy
Dental
Full-time/Full-time education
Dentist

Lysyakova L.A.

Specialization: Ultrasound doctor

Work experience: General medical experience is 22 years, including 8 years in the specialty of ultrasound diagnostics. First qualification category in the specialty of ultrasound diagnostics.

Education:

St. Petersburg Medical Institute named after Academician I.P. Pavlov, 1993, specialty "general medicine". Internship in the specialty "dermato" RKVD, Nalchik. 1994. Professional retraining in the specialty “ultrasound diagnostics” RMAPO, Moscow 2007 Educational institutions and technical colleges in the specialties “dermato”, “ultrasound diagnostics” 1999, 2004, 2007, 2012, 2013

Area of ​​professional interests:

Ultrasound examination of adults: thyroid, salivary gland, mammary gland, heart (ECHO-CG), abdominal cavity, pleural cavity, liver, gall bladder, pancreas, spleen, kidneys, adrenal glands, bladder, prostate, scrotum, uterus, ovaries, duplex scanning vessels (arteries, veins of the upper, lower limbs, necks are sleepy And vertebral arteries), ultrasound examination in obstetrics, 3D-4D, ultrasound examination of joints, soft tissues, lymph nodes.

Kravtsova E.V.

Specialization: Neurologist

Work experience: 12 years old / Doctor of Medicine

(Medical rehabilitation center under scientific guidance V.I. Dikul). Lecturer at the Department of RUDN University. Highest medical category.

Education:

RUDN Faculty of Medicine, specialty "General Medicine". Diploma with honors, International diploma with honors.

Area of ​​professional interests:

Vertebroneurologist, Rehabilitologist, Proficient in the technique of paravertebral blockades, pharmacopuncture, local injection therapy, massage on trigger zones. Residency at the Department of Neurology and Clinical Neurophysiology of RUDN University.

Moisov Adonis Alexandrovich

Specialization: Traumatologist, orthopedist

Work experience: More than 5 years

Education:

In 2009 he graduated from the Yaroslavl State Medical Academy with a degree in general medicine.
From 2009 to 2011, he completed a clinical residency in traumatology and orthopedics at the Clinical Emergency Hospital named after. N.V. Solovyov in Yaroslavl.

Scientific activity:

From 2011 to 2012, he worked as an orthopedic traumatologist at Emergency Hospital No. 2 in Rostov-on-Don. Scientific and practical interests: foot surgery and hand surgery.

Malikova T.V.

Specialization: Otolaryngologist (ENT)

Work experience: 34 years old / Doctor of the highest category

Education:

Diploma in the specialty "General Medicine (Treatment and Prevention)", Moscow State Medical Academy (1981)
Internship in the specialty "Therapist", Moscow City clinical Hospital No. 67 (1992)
Diploma in Otorhinolaryngology, City Clinical Hospital No. 67 (1993)
"Otorhinolaryngology", Moscow State Medical and Dental Institute (2012)

Area of ​​professional interests:

Spicy and chronic rhinitis(runny nose): including allergic, vasomotor rhinitis; acute inflammatory diseases of the pharynx: acute tonsillitis, acute pharyngitis, paratonsillar abscess; acute and chronic sinusitis: sinusitis, ethmoiditis, frontal sinusitis, sphenoiditis, nasal polyposis; acute and chronic otitis: external otitis, otitis media; inflammatory diseases of the larynx: acute and chronic laryngitis, laryngeal sore throat; inflammatory diseases of the head, neck: boils, carbuncles of the face, neck; injuries of the external nose, ear; foreign bodies pharynx, larynx.

Scientific activity:

ENT doctor, City Clinic No. 195, Moscow (1983-2012) ENT doctor, City Clinic No. 139, Department of Otorhinolaryngology, Moscow (1983-1986) ENT doctor, Medical Center "Our Clinic", Moscow city (2012-2016)

Vereshchagina Natalya Sergeevna

Specialization: Dermatovenerologist

Work experience: 9 years

Education:

Graduated from Altai State Medical University (2002-2008) with a degree in General Medicine (Barnaul).
She specialized in Dermatovenereology (2008-2010). (Internship) on the basis of the Dermatovenerological Dispensary at the Altai State Medical University (Barnaul).
She completed advanced training in Dermatovenereology (144 hours) in 2015 in Moscow on the basis of the Federal State Budgetary Educational Institution of Additional Professional Education “Institute for Advanced Training of the Federal Medical and Biological Agency.”

Area of ​​professional interests:

He has extensive experience in removing benign tumors using the Surgitron device (electrocoagulation). She receives patients with various diseases of the skin and scalp, including chronic ones (fungal, viral, autoimmune, allergic, infectious lesions). Widely approaches the solution of various skin problems, based on the etiology and pathogenesis of diseases. Deals with the correction of trichological problems, diagnosis and treatment of sexually transmitted diseases. Constantly improves his professional level of training.

Slabukha O.V.

Specialization: Dermatologist, trichologist / Highest medical category

Other specializations: Therapy, infectious diseases

Work experience: More than 20 years

Education:

Siberian State Medical University, Tomsk. "Healing."
Pacific State University, Khabarovsk - jurisprudence.

Area of ​​professional interests:

Extensive experience in the diagnosis and treatment of patients with diseases of the skin and subcutaneous fat: dermatitis of various etiologies, pyoderma, dermatoses (psoriasis, atopic dermatitis), dermatomycosis, onychomycosis, ectopariasitosis, viral skin diseases, diseases of the sebaceous glands, focal and diffuse alopecia, seborrhea , venereal diseases and STIs, emergency prevention of STIs, Trichoscopy, dermatoscopy, Individual selection of treatment regimens according to the diagnosis. Operation of the Surgitron radio wave apparatus: removal of benign growths of the skin and mucous membranes.

Professional achievements:

Member of the Russian Scientific Society of Dermatologists and Cosmetologists, the Union of Trichologists.

Normatova Dilfuza Yashinovna

Specialization: Obstetrician-gynecologist

Work experience: More than 15 years

Education: TSMU named after Abuali ibni Sino

2004 – Research Institute of AGiP of the Ministry of Health of the Republic of Tatarstan Seminar “Promoting effective perinatal care”, Dushanbe
2005 – Tajik Institute of Postgraduate Training of Medical Personnel “Colposcopy”, Dushanbe
2006 – The project simplemented by CARE Tajikistan - Training “STI Management” Dushanbe
2007 - The project simplemented by CARE Tajikistan - training “Structures for the provision of services for the friendly attitude of sexual and reproductive health of youth”, Dushanbe; Ministry of Health of the Republic of Tatarstan, UNISEF, Association of Family Doctors of the Republic of Tatarstan Seminar “Promotion and introduction of breastfeeding in a child-friendly hospital” Dushanbe
2009 – GTZ Parter for the Future. Worldwide. Ministry of Health of the Republic of Tajikistan, training “Implementation of national standards for the provision and management of safe antenatal care”, Dushanbe
2010 – RMAPO Colposcopy, Moscow
2012 – Federal Budgetary Institution “Central Research Institute of Epidemiology”, 18th scientific and practical seminar “New foreign and domestic recommendations for the prevention and early detection of cervical cancer. New developments of the Center for Molecular Diagnostics for screening cervical pathology" Moscow
2014 – JSC “PENCROFT-PHARMA” seminar “Use of Dr. Arabin’s pessaries in obstetrics and uro-gynecology”; FBUN TsNIIE 26th scientific and practical seminar “Florocenosis - rational PCR diagnostics in gynecology. Experience of application in clinical practice" Moscow; courses and trainings JSC "PENCROFT-PHARMA" seminar " Safe abortion: manual vacuum aspiration, medical termination of pregnancy" Moscow

Systematically improves the level of his knowledge and the level of medical skills through courses in his specialty, and has a specialist certificate. Engaged in research activities, takes an active part in seminars, master classes, and exhibitions on gynecology. Provides specialized care to patients gynecological profile at the clinic and hospital level. Conducts outpatient visits, minor operations and manipulations (RDV, HS, hymo-, labiaplasty, ECHO HSG, pneumo- and hydrotubation, intrauterine instillations, insertion and removal of IUDs, surgical and medical abortions), assistance in laparotomic and laparoscopic operations, diagnostics in gynecology, obstetrics, treatment, clinical observation, masters colposcopy techniques and methods of treating cervical pathologies, ultrasound in gynecology and obstetrics. She headed the City Center for Reproductive Health, the Medical Advisory Center for Friendly Youth Services.

Armashova Olesya Yurievna

Specialization: Endoscopist, surgeon

Work experience: 6 years

GBUZ MO "Vidnovskaya Regional Clinical Hospital" (Vidnoye)
07/2009 - present time (surgeon, endoscopist)

GOUVPO State Classical Academy named after Maimonides (Moscow), Faculty of Medicine
09/2008 - present time (Assistant at the Department of Topographic Anatomy and Operative Surgery)

Education:

GOUVPO State Classical Academy named after Maimonides (Moscow)
08/2003 - 07/2009 Faculty social medicine, special "Medicine"

Clinical residency GOUVPO State Classical Academy named after. Maimonides (Moscow)
09/2009 - 07/2011 Clinical resident in general surgery

GOUVPO Russian Medical Academy of Postgraduate Education (Moscow)
Department of Endoscopy, primary specialization 2011

Area of ​​professional interests:

Treatment of acute surgical pathology(felons, purulent diseases of the skin, subcutaneous tissue, joints, perforated ulcer stomach and duodenum and other acute diseases of the abdominal cavity)
- Operations performed: hernia, cholecystitis, appendicitis, removal of skin formations, subcutaneous tissue, etc.
- Ability to work independently,
- Knowledge modern trends in surgical anatomy
- Conducting and interpreting studies: esophagogastroduodenoscopy (EGD), colonoscopy, bronchoscopy, sigmoidoscopy,
- Therapeutic gastro-, broncho- and colonoscopy (removal of polyps, formations, NO therapy, taking a biopsy, stopping gastrointestinal bleeding, sanitation of the bronchial tree, removal of colon formations, installation of stents for strictures, including burns).

Professional achievements:

Certificate “For personal contribution to the development of the healthcare system of the Leninsky district of the Moscow region” (2011)

Voitashevskaya N.V.

Specialization: Gastroenterologist-endoscopist

Work experience: 15 years

2001-2003 Clinic No. 106, Moscow, endoscopist.
2004-2007 City Clinical Hospital No. 64 of Moscow, emergency endoscopist.
2004-2015 GP No. 5 of the Department of Health, General Practitioner.
2012-2015 Children's City Polyclinic No. 118 DZM, endoscopist.

Education:

1993-2000 - Peoples' Friendship University of Russia, Faculty of Medicine, qualification as a doctor, specialty "General Medicine".
2000-2002 - Peoples' Friendship University of Russia, Faculty of Medicine, clinical residency at the Department of General Surgery in endoscopy and ultrasound diagnostics, specialty endoscopy.
2002-2005 - Peoples' Friendship University of Russia, Faculty of Medicine, postgraduate study at the Department of Faculty Surgery, academic degree Candidate of Medical Sciences.
2011 - Russian State Medical University, advanced training courses, specialty endoscopy.

Gaponov M.V.

Specialization:

Ultrasound diagnostics. Conducts ultrasound diagnostics of the abdominal organs, urinary system, lymph nodes, mammary glands, thyroid gland, pelvic organs, prostate and scrotum. Doppler ultrasound of the arteries and veins of the extremities, brachiocephalic vessels of the neck.

Work experience: More than 5 years

Education:

2008 Tashkent Medical Academy, Republic of Uzbekistan, specialty “General Medicine” 2010. Tashkent Medical Academy, Republic of Uzbekistan, residency in Oncology, 2014. FSBI National Medical and Surgical Center named after. N.I. Pirogov, retraining in the specialty “Ultrasound diagnostics” 2014. TIC "SoMeT" on the basis of the Federal State Budgetary Institution "Scientific Center" cordially- vascular surgery them. A.N. Bakulev”, advanced training on the topic “Ultrasound diagnosis of pathology of the heart and blood vessels” 2014. GBOU VPO MGMSU named after A.I. Evdokimov, advanced training in the course “Palliative medical care”

Area of ​​professional interests:

Ultrasound diagnostics of joints and spine. ECHO-KG, ultrasound diagnostics of superficial organs (soft tissues).

Romanchenko A.I.

Specialization: Obstetrician, gynecologist, ultrasound diagnostician.

Work experience: 9 years

Area of ​​professional interests:

Professional goals: Consultation on obstetrics and gynecology - outpatient appointment, ultrasound; cervical treatment, radio wave treatment cervix using Fotek Surhydron devices, pelvic inflammatory diseases, ovarian dysfunction, Bartholin gland disease, menopause and menopause, atrophic vaginitis, conditions associated with artificially induced menopause, postmenopausal bleeding, endometriosis, adenomyo, treatment of STDs, pipel biopsy, management pregnancy, colposcopy.

Alasheeva Margarita Nikolaevna

Specialization: Obstetrician-gynecologist, endocrinologist, ultrasound diagnostician

Work experience: More than 25 years / Doctor of the highest category

Education:

In 1989 she graduated with honors from the Turkmen Order of Peoples' Friendship State Medical Institute.
In 2013, she passed the final certification in the professional retraining program “Ultrasound Diagnostics”

Direct speech from the doctor:

Soloviev Nikolai Konstantinovich

Specialization: Andrologist-urologist

Work experience: 36 years

Education:

Graduated from the 2nd MOLGMI named after N.I. Pirogov / Federal State Budgetary Educational Institution of Russian National Research Medical University named after. N.I. Pirogov./ in 1981, majoring in pediatrics. Passed subordination at the State Budgetary Institution of Children's City Clinical Hospital No. 13 named after. N.F. Filatova. Entered into internship at the Research Institute of Pediatrics and Pediatric Surgery on the basis of Children's City Clinical Hospital No. 9 named after. G.N. Speransky. Then he was transferred to the Research Institute of Urology of the Ministry of Health of the RSFSR. He completed his postgraduate studies in urology at the City Clinical Hospital No. 1 named after. N.I. Pirogov at the Department of Urology and Operative Nephrology 2 MOLGMI named after. N.I. Pirogov. Studied the effect of medium molecular substances in chronic renal failure and various inflammations genitourinary system, infertility.

Area of ​​professional interests:

Currently, he continues to actively use high-tech medical care for patients with urological pathology in the Moscow Doctor clinics.

Scientific activity:

While working at the Research Institute of Urology, he was engaged in scientific activities in the department - Inflammatory kidney diseases, in the department - Efferent methods of treatment urological diseases- accompanied by renal failure (hemodialysis, hemosorption, plasmapheresis). He is the author of 26 scientific papers, including inventions on the topic “Latent infectious and inflammatory diseases of the genitourinary system - diagnosis and treatment.” Simultaneously with scientific activities, he was engaged in operational work. He performed more than 11,000 surgical interventions on the genitourinary system. Based on the family house No. 20 \with urological pathology of pregnant women\, they were treated large quantity patients with pyelonephritis during pregnancy. At the Marriage and Family Medical Center, natural. house No. 20 treated men with various forms infertility.

Professional achievements:

He is a member of the Association of Urologists of Russia, Andrologists of Russia, a permanent participant in the All-Russian Urological Video Conference, and constantly takes part in master classes at the Karl Storz School (Germany).

Komrakov Vladimir Evgenievich

Specialization: Professor / Doctor of Medical Sciences

Work experience: 32 years

Education:

Graduated from the 2nd Moscow State Medical Institute named after. N.I. Pirogov (Federal State Budgetary Educational Institution of Higher Education Russian National Research Medical University named after N.I. Pirogov) in 1984 with a degree in general medicine. After completing clinical residency and graduate school, he worked as an assistant, associate professor, and professor in the departments of surgical diseases, headed the departments of vascular surgery, was a consultant to the Main Military Clinical Hospital of the Military Forces of the Ministry of Internal Affairs of the Russian Federation on vascular surgery, and the head of the emergency cardiovascular surgery course at the Faculty of Advanced Training for Physicians. Working at the Department of Surgical Diseases, he completed and defended his dissertation in 1990 scientific degree candidate of medical sciences: "Infection of vascular grafts (diagnosis, treatment, prevention)", in 1998 - dissertation work for the degree of Doctor of Medical Sciences: "Pyoseptic complications in reconstructive surgery of the aorta and arteries of the extremities"

Area of ​​professional interests:

Over the past 3 years, Professor Komrakov V.E. Head of the Department of Surgery of the Moscow Doctor network of clinics at the Protek Research and Production Company. In her work she uses high-tech innovative methods for diagnosing and treating vascular diseases. The professor continues to actively work on organizing and providing high-tech medical care to patients in multidisciplinary clinic, introduction of modern innovative methods of diagnosis and treatment various diseases cardiovascular system and surgical pathology, used in addition to state medical and economic standards, especially for elderly and old age with multifocal concomitant pathology.

Scientific activity:

For 5 years Komrakov V.E. combined work at the department with administrative work at the university: he worked as dean for work with foreign students, and acted as head of the international department of the university. He is the author of more than 140 scientific works, including 3 monographs (co-authored), a manual on internal diseases edited by Academician E.I. Chazov (chapter - Vascular diseases), a multi-volume manual on Gerontology and geriatrics edited by Academician of the Russian Academy of Medical Sciences V.N. Yarygina (editor, compiler, co-author of 16 chapters), inventions, methodological recommendations for students. Published (co-authored) over a number of years; monographs “Infection in Vascular Surgery”, “Surgical Sepsis”, “Thromboangitis Obliterans”: in 2010 - a manual for doctors “Thrombotic Conditions in Obstetric Practice”.

Professional achievements:

For his many years of contribution (more than 30 years) to the development of the medical industry, he was awarded the medal “For Services in Healthcare” by the Intersectoral Joint Awards Committee of the Russian Federation.

Shiukashvili Marina Borisovna

Specialization: Ultrasound diagnostics doctor, functional diagnostics, therapist

Work experience: More than 20 years

1993 - 2003 - local therapist at the Federal State Securities Hospital of the Primorsky Territory, since 2003 headed the therapeutic department of the Federal State Securities Hospital of the Primorsky Territory.
2006 – 2008 – senior local physician-therapist at the clinic of the Federal State Securities Hospital of the Primorsky Territory.
2008 – 2011 – general practitioner, functional diagnostics doctor at the Central District Hospital in the Mozhaisk district of Uvarovka.
Since 2011 – general practitioner, functional diagnostics doctor at Russian Railways, Moscow.
2012 – 2017 – functional diagnostics doctor, ultrasound diagnostics doctor at the North-Eastern Administrative District clinic in Moscow.
Ultrasound diagnostics doctor – 5 years, functional diagnostics doctor – 13 years, general practitioner.

Education:

1993 – Vladivostok State Medical Institute (VSMI), diploma in “General Medicine”
1997 – Internship in therapy in Vladivostok
2004 – Professional training in functional diagnostics, Vladivostok
2005 – Far Eastern State Medical University, Khabarovsk, TU “Echocardiography”
2008 – MGMSU, Moscow, TU “Functional Diagnostics” Certification cycle
2009 – MONIKI, Moscow, certification cycle in therapy “ Current issues cardiology and pulmonology"
2012 – Research Institute named after. Myasnikov, Moscow, TU “Holter monitoring of ECG and blood pressure”, TU “Echocardiography. Dilated cardiomyopathy"
2013 – Institute of Science named after. Pirogov, Moscow “Angiology”, TU “Vascular Dopplerography”
2014 – FMBA Moscow, professional training “Ultrasound diagnostics”, Institute named after. Sechenov – certification cycle in functional diagnostics, Moscow
2017 – Federal State Budgetary Educational Institution of Further Professional Education RMANPE of the Ministry of Health of Russia, certification cycle in therapy.

Professional skills:

ECHO-KG, TKDS, Doppler ultrasound of blood vessels(arteries and veins) of the upper and lower extremities with Dopplerography, ultrasound of the abdominal vessels (aorta, venous ventricle, kidney vessels), ultrasound of the thyroid gland, ultrasound of the abdominal cavity, ultrasound of the gallbladder (functional test), ultrasound of the kidneys and adrenal glands, ultrasound of the bladder, Ultrasound of the prostate gland and scrotal organs, ultrasound of the mammary glands with regional lymph nodes, ultrasound of soft tissues, ultrasound of superficial lymph nodes, ultrasound salivary glands, BCA of neck vessels, ultrasound of joints, as well as ECG, FVD, Holter, ABPM.

Koretsky V.A.

Specialization: Andrologist-Urologist

Work experience: 49 years of experience in the specialty.

Education:

1968 – Dnepropetrovsk Medical Institute with a degree in Pediatrics, experience as a pediatric surgeon in Dnepropetrovsk

1971 – 1973 – Residency in pediatric urology at the Research Institute of Urology in Kiev

Area of ​​professional interests:

1973 – 1975 – worked as a urologist in Yerevan 1975 – 2015 – State Clinical Hospital named after. S.P. Botkin, Moscow, urologist (since 2005, outpatient work at the S.P. Botkin City Clinical Hospital, previous years worked primarily in a surgical hospital).

Professional achievements:

Has the highest category. Mastered and independently performs circumcision, operations for dropsy, varicocelectomy, removal of bladder stones, ureters, kidneys (including staghorn), TUR operations, adenomectomy, urethral resection, bladder resection due to ocular diseases, resection of kidney cysts, cyst puncture, plastic surgery (using various methods). Assisted in kidney transplantation operations, radical prostatectomy due to oncological diseases. IN urgently performed dissection of the strangulating ring in case of paraphimosis, puncture cystostomy, puncture nephrostomy, nephrectomy and other emergency interventions.
Provides consultation and outpatient treatment for patients with chronic prostatitis, urolithiasis, and patients with urinary incontinence, as well as sexually transmitted diseases.

Kondratyeva E.N.

Specialization: Obstetrician-gynecologist

Work experience: Specializing in Obstetrics, Gynecology and Perinatology (37 years); - specialty: Ultrasound diagnostics in obstetrics, gynecology and perinatology (34 years).

Education:

Turkmen State Medical Institute (1974-1980)
Clinical residency in Obstetrics and Gynecology (1980-1982).

Scientific activity:

Operating gynecologist (in a day hospital: removal of cervical polyps, conization of the cervix; separate diagnostic curettage of the walls of the uterine cavity, removal of polyps of the uterine cavity, opening and drainage of Bartholin's gland abscesses, insertion and removal of an IUD);
- pregnancy management;
- diagnosis and treatment of infertility;
- diagnosis and treatment inflammatory diseases female genital organs;
- diagnosis and treatment of ovarian dysfunction;
- diagnosis and treatment of cervical diseases;
- diagnosis and treatment benign tumors female genital organs;
- diagnosis and treatment of dysfunctional uterine bleeding;
- diagnosis and treatment of mastopathy;
- family planning (consultations on contraception and selection of the optimal contraceptive);
- pregravid preparation;
- preparation for the IVF program

Professional achievements:

Doctor of Medical Sciences (has more than two hundred scientific works, including monographs).

Khalitov Ranil Ravilievich

Specialization: Urologist

Work experience: More than 15 years

Education: Samara State Medical University

Professional skills:

Mastered surgical interventions: cystoscopy, tour and vaporization of the bladder, contact lithotripsy in bladder, ureter and kidney, catheterization of the ureter, installation of a stent in the ureter, operations for hydrocele, cysts of the appendages and spermatic cord, circumcision, Sapozhkov operation stage 1-2, epididymectomy, orchiectomy, orchifuniculectomy, freniculotomy, excision of urethral polyp, Ivanissevich operation, Mar- operation Mara, cystolithotomy, epicystostomy, trocar cystostomy, intravesical and retropubic adenomectomy, nephrectomy, pyelolithotomy, ureterolithotomy, nephrostomy, kidney resection, PPNS, operations for priapism, penile fracture.

Manipulations:

Reduction of paraphimosis, urethroscopy, cystoscopy, hydrocele puncture, ascending urethrography and cystography, antegrade pyelography.

Magomedov Jakhfar Pavlovich

Specialization: Surgeon, coloproctologist

Work experience:

Clinic "Medkvadrat" - coloproctologist 2016-2017
 Medsi Clinic on Krasnaya Presnya - coloproctologist 2017

Education:

2008-2014, State Classical Academy. Faculty of Medicine (RUDN University).
- 2014-2015 – MSMU im. Sechenov "University Clinic No. 1" internship, specialty "Surgery". Diploma Certificate.
- 2015-2017 – State Research Center of Coloproctology named after. A.N.Ryzhikh residency, specialty
"Coloproctologist" diploma, certificate.

Professional skills:

Knowledge modern methods treatment and diagnosis of coloproctological diseases, rules for preparing medical documentation. 1. Assistance during abdominal surgeries and laparoscopic surgeries. 2. Independent operations - hemorrhoidectomies (closed, open, ultrasonic scalpel), excision of anal fissures (with pneumodivulsion, with sphincterotomy), excision of rectal fistulas (into the intestinal lumen, with a latex ligature), excision of the EC (with suturing to the bottom, parallel sutures, sinusectomy) excision of perianal condylomas, sclerotherapy of hemorrhoids, ligation of hemorrhoids with latex rings, opening and drainage of subcutaneous, submucosal, ischiorectal, pelverectal, paraproctitis, closure of double-barreled colostomy and ileostomy. 3. Maintaining medical records 4. Maintaining medical documentation, electronic medical records, 5. Preparation of presentations, lectures

Minosyants Anna Arminakovna

Specialization: Ultrasound Doctor

Work experience: 22 years

Education:

Graduated from the State Medical University of Turkmenistan (TSMU)

Certificates and awards:

"Ultrasound diagnostics" Russian Scientific Center of X-ray Radiology

Movsisyan Arthur Grishaevich

Specialization: Ultrasound Doctor

Work experience: 31 years

Higher education

Diploma in General Medicine, Yerevan State Medical Institute
- Internship in the specialty "Ultrasound Diagnostics", Central Order of Lenin Institute for Advanced Training of Physicians

"Radiation diagnostics", Moscow Medical Academy named after I.M. Sechenov
"Radiation diagnostics", Russian Medical Academy of Postgraduate Education
"Radiation diagnostics", Kuban State Medical University

Additionally:

Proficient in basic ultrasound diagnostic methods, including ultrasound of the abdominal cavity, retroperitoneal space, ultrasound of the prostate gland, ultrasound of the thyroid gland, ultrasound of the mammary glands, ultrasound of the pelvic organs, transvaginal examination, ultrasound internal organs, Ultrasound of joints, Ultrasound of lymph nodes

Zashlyakhin Andrey Rafailovich

Specialization: Neurologist

Work experience: 33 years

Education: Chisinau Medical Institute

Training:

Under the programs "Healthcare Organization and Public Health" 2014, "Examination of Temporary Disability and Quality of Medical Care" 2016 at the Russian Medical Academy of Continuing Professional Education, Advanced training under the program "Clinical Neurology in General Medical Practice" 2016. At the State Budgetary Educational Institution of Higher Professional Education RNIMU named after. N.I. Pirogov Ministry of Health of Russia

Mayramukaeva Laura Ruslanovna

Specialization: Coloproctologist

Work experience: 2 years

Higher education

2015 - North Ossetian State University named after. K.L. Khetagurova, Vladikavkaz (General medicine (doctor))
2016 - Kuban State Medical University, Krasnodar (Internship, Surgery)
2016 - Kuban State Medical University, Krasnodar (Professional retraining, Coloproctologist) Current confirmation of qualifications of a medical worker from. 03/13/2015
Certificate of a specialist in the specialty of therapy (see a copy of the document in the attachment);
Certificate of specialist in cardiology from 2017.

Additional education:

Ministry of Health of the Russian Federation (Certificate of a specialist in functional diagnostics)
Ministry of Health of the Russian Federation (Certificate of Ultrasound Diagnostic Specialist)
Advanced training in echocardiography at the Department of Functional Diagnostics of City Clinical Hospital No. 85

Professional skills::

Examination and consultation of patients with any therapeutic pathology;
Mastery of the technique ECG interpretation adults and children;
Knowledge of methods for deciphering spirometry in adults and children and extended spirographic studies of diffusion and body
Knowledge of EEG decoding techniques
Knowledge of methods for conducting stress tests (bicycle ergometry, treadmill test);
Knowledge of cardiac echocardiography;
Knowledge of the methodology for deciphering Holter monitoring of ECG and blood pressure;
Carrying out ultrasound examination of abdominal organs, urology, heart diseases;

Lenev Oleg Glebovich

Specialization: Neurologist, neurosurgeon

Work experience: 21 years

Education: Dagestan Medical Institute

In Moscow, he completed his clinical internship and residency at the Federal State Budgetary Educational Institution of Higher Education Russian National Research Medical University named after. N.I. Pirogov. at the Department of Child Neurology, Neurosurgery and Medical Genetics.

Certified doctor, specialist in functional diagnostics, radiology “neurovisualization”, reflexologist.

Second higher education at the Department of Psychophysiology, Faculty of Psychology, Moscow State University named after M.V. Lomonosov, specialty psychophysiologist. I have permission to work with polygraph “lie detector”, electroencephalography “EEG”, biofeedback “BFB-training” evoked potentials “auditory, visual, cognitive”, psychology of stress.

2015-2018 surgeon at the Family Doctor clinic

Area of ​​professional interests:

Conservative and surgical treatment of purulent diseases (boils, carbuncles, ingrown nails, abscesses, cellulitis, etc.), including radio wave scalpel
- Conservative and surgical treatment of neoplasms of the skin and subcutaneous tissue (atheromas, lipomas, fibromas, warts, calluses and calluses, papillomas, etc.), including radio wave scalpel
- Plastic surgery of postoperative and keloid scars, ear urine, etc.
- Conservative treatment of joint diseases, intra-articular injections, therapeutic blockades
- Conservative treatment of arterial diseases (atherosclerosis, diabetic foot syndrome, etc.)
- Conservative and surgical (operative) treatment venous insufficiency and varicose veins (including radiofrequency and laser obliteration of veins, sclerotherapy). Treatment of venous thrombosis n/c
- Emergency treatment exacerbation of hemorrhoids and anal fissures (including acute thrombosis of hemorrhoids, paraproctitis, etc.), therapeutic blockade of hemorrhoids, Anoscopy
- Treatment and preventive consultations in all areas of surgery, incl. mammology, proctology, phlebology 2004 - Doctoral dissertation “Treatment and diagnostic strategy for patients with thyroid diseases.”

Education: In 2015, he graduated from the Faculty of Dentistry of the State Budgetary Educational Institution of Higher Professional Education of the Moscow State Medical and Dental University named after. A.I. Evdokimova
2015-2016 completed an internship at the department surgical dentistry oral cavity, Faculty of Dentistry, State Budgetary Educational Institution of Higher Professional Education, Moscow State Medical and Dental University. A.I. Evdokimov. Upon completion, he was awarded the qualification: general dentist.
2017 - graduated from primary specialization in therapeutic dentistry at the Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation. Upon completion, he was awarded the qualification: dentist-therapist.
Also in 2017, he graduated from the primary specialization in surgical dentistry at the Moscow State Medical and Dental University. A.I. Evdokomova. Upon completion, he was awarded the qualification of a dental surgeon.

Preparing for an ultrasound of the gallbladder for adults

So what to do before ultrasound of the gallbladder? Preparing for this procedure is not particularly difficult, but, nevertheless, it is mandatory. So, two days before the procedure itself, doctors recommend following a diet. It involves the exclusion or strict limitation of the consumption of products that can provoke the process of gas formation: milk, brown bread, crackers, peas, beans, cabbage, as well as apples, beer, other drinks, carbonated water. Adults should eat food within 6-7 hours before the examination, and stop drinking any liquid two hours before the examination. The study is carried out on an empty stomach, it is best to do it in the morning.

Preparing for an ultrasound of the gallbladder for children

It is worth noting that sometimes the procedure for ultrasound examination of the gall bladder is also performed on children, and in order for the results of the study to be as accurate as possible, due attention must be paid to preparation.

If a child under 1 year of age is being examined, you should try to skip at least one feeding; you cannot feed the baby immediately before the ultrasound, at least 2-4 hours before the procedure. Fluid intake should also be limited.

Children from 12 months to 3 years - do not feed for 4-5 hours, do not give the child any liquid to drink at least an hour before the procedure.

Children over three years of age - the last meal before the procedure should be at least six hours before the test. If possible, it is better to conduct the examination early in the morning, then the child will be more comfortable.

If a child has problems with gas formation, it is worth following a strict diet for a couple of days before the examination, then during the procedure the ultrasound results will be as accurate as possible.

What diseases does ultrasound detect?

What diseases can be detected using ultrasound?

Cholelithiasis. Its symptoms are as follows: attacks of severe pain in the right hypochondrium, possibly nausea, vomiting;

Cholecystitis - symptoms of the disease are as follows: increased body temperature, severe weakness, nausea, vomiting, severe pain in the right hypochondrium may occur;

Hydrocele of the gallbladder;

Biliary dyskinesia. The disease may be accompanied by nausea, lack of appetite;

Dyskinesia of the gallbladder. The patient may experience a feeling of bitterness in the mouth, discomfort in a stomach.

Features of ultrasound screening of the gallbladder

This examination has no contraindications. But as mentioned, before ultrasound of the gallbladder Some foods should not be consumed. The examination does not cause discomfort or pain to the person and does not harm health. If necessary similar procedure can be carried out many times, for example, in order to confirm the diagnosis, find out how effective the treatment is. Ultrasound of the abdominal cavity requires a minimum of time, and the results will be quite informative and accurate.

Contraindications to ultrasound of the gallbladder

An ultrasound examination is an absolutely safe examination method, so it can be prescribed to both pregnant women and even newborns; it will not cause harm to health. Meanwhile, the data obtained during the examination can help the patient regain lost health.

You can undergo a gallbladder examination at our clinic. And experienced doctors, using modern medical equipment, will be able to detect the disease (if it exists) at the earliest stage of its appearance and take all measures to forget about it forever.

Like most ultrasound examinations, gallbladder ultrasound is performed on an empty stomach. This research method is a non-invasive diagnostic method and allows you to obtain comprehensive information about the condition of the gallbladder and its ducts. Very often, an ultrasound of the gallbladder is performed in conjunction with an ultrasound of the liver or other abdominal organs. This procedure is prescribed by a gastroenterologist, and like other procedures for examining the internal organs of the abdominal cavity, ultrasound of the gallbladder is absolutely painless and safe for the patient’s body.

Preparing for an ultrasound of the gallbladder

To properly prepare, you must follow the instructions below. And it is IMPORTANT to remember that ultrasound of the gallbladder is performed strictly on an empty stomach. Only in this case is it filled with bile and slightly increased in size, otherwise it may be smaller in size, which will make it difficult gastroenterologist diagnostics.

Sign up for an ultrasound of the gallbladder

Who is prescribed an ultrasound of the gallbladder? Symptoms for undergoing an ultrasound of the gallbladder?

Regardless of the symptoms, you first need to see a doctor, and only after an initial examination, a gastroenterologist will, if necessary, prescribe an ultrasound of the gallbladder if he recognizes the following symptoms or diseases:

How is an ultrasound of the gallbladder done?

Almost the entire time of the examination using ultrasound of the gallbladder, the patient is in a supine position; at the doctor’s request, he can roll over to one side. The examination takes place in the area where the gallbladder is located and allows you to localize the size of the organ, its shape and size, the presence of stones or other neoplasms, as well as the amount of accumulated bile. The procedure lasts 15-20 minutes, and allows you to exclude diseases such as: dropsy, cholecystitis, cholelithiasis, dyskinesia of the gallbladder and tract. The procedure itself does not cause any pain or other discomfort in the patient.

Cost of ultrasound of the gallbladder

Where to get an ultrasound of the gallbladder in Moscow?

At the DoctorStolet multidisciplinary medical center, you can always undergo an examination - ultrasound of the gallbladder. Our medical Center located between the Konkovo ​​and Belyaevo metro stations. The journey from each of them will take no more than 10 minutes. Here you will find highly qualified personnel and the most modern diagnostic equipment. Our clients will be pleasantly surprised by our quite affordable prices.