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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">mossj</journal-id><journal-title-group><journal-title xml:lang="ru">Московский хирургический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Moscow Surgical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-3180</issn><publisher><publisher-name>ООО «ПРОФИЛЬ – 2С»</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">mossj-39</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group></article-categories><title-group><article-title>СТРУКТУРА ЗАБОЛЕВАНИЙ ЖЕЧНОГО ПУЗЫРЯ В НЕПАЛЕ</article-title><trans-title-group xml:lang="en"><trans-title>PATTERN OF GALL bLADDER DISEASE</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Vaidya</surname><given-names>A.</given-names></name><name name-style="western" xml:lang="en"><surname>Vaidya</surname><given-names>A.</given-names></name></name-alternatives><email xlink:type="simple">dr1992fenix@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>National Academy of Medical Sciences, Bir Hospital</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>31</day><month>07</month><year>2020</year></pub-date><volume>0</volume><issue>5</issue><fpage>12</fpage><lpage>17</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Vaidya A., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Vaidya A.</copyright-holder><copyright-holder xml:lang="en">Vaidya A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.mossj.ru/jour/article/view/39">https://www.mossj.ru/jour/article/view/39</self-uri><abstract><p>Цель: Проанализировать частоту возникновения различных видов болезни желчного пузыря на примере больницы Bir.Методы: Это ретроспективное исследование 855 пациентов, которые были прооперированы с апреля 2012 года по март 2015 года (в течение 3-х лет) в хирургическом отделении больницы Bir по поводу различных заболеваний желчного пузыря, среди которых было 702 женщины и 153 мужчины.Результаты: Максимальное количество заболеваний желчного пузыря было выявлено в группе женщин в возрастной группе 20-41 год (53.45 %). Среди всех пациентов, наиболее часто встречался хронический холецистит - 808 случаев (94.72 %), острый холецистит 29 - случаев (3.39%). Общее коли- чество пациентов с полипами желчного пузыря составило 6 (0.70%), карциномой желчного пузыря - 12 (1.40%). Соотношение мужчин и женщин 1:4.5. В возрастной группе 61-80 лет у 4-х пациентов был рак желчного пузыря, в возрастной группе 41-60 лет у 3-х пациентов мужского пола и у 2-х пациенток было злокачественное заболевание. В нашем исследовании в возрастной группе 21-40 лет 1 мужчина и 2 женщины имели злокачественное заболевание. Гистологическое исследование выявило высокодифференцированную карциному в 1 случае, средне-дифференцированную карциному в 7 случаях, низ- кодифференцированную карциному в 3 случаях среди всех случаев рака желчного пузыря и 1 случай аденосквамозной карциномы.Заключение: Соотношение женщин и мужчин с холелитиазом составило 1:4,5. В нашем исследовании выявлена невысокая частота возникновения карциномы желчного пузыря у населения Непала, хотя это одно из наиболее частых проявлений заболевания желчного пузыря. Основные проблемы связаны с поздним появлением симптомов, поздней постановкой диагноза и неблагоприятными исходами заболевания.</p></abstract><trans-abstract xml:lang="en"><p>Background &amp; Aims : To analyze the incidence different types of of gall bladder disease on attending Bir Hospital.Methods: It is a retrospective study of 855 cases who were operated from April 2012-March 2015(3years) in the department of surgery Bir Hospital with various problems related to gall bladder. 702 were female and 153 were male.Results: Maximum number of gall bladder disease found females age group 20-41 (53.45 %).The highest incidence, in total patients were, chronic cholecystitis 808 (94.72 %), acute cholecystitis 29(3.39%).Total number of Polyp gall bladder were 6 (0.70%) .carcinoma gall bladder 12 (1.40%) .The male to female ratio was 1:4.5. Aged between 61-80, 4 patients had CA gall bladder were in the age group of 41-60, 3 male patients had CA gall bladder and 2 female patients were malignant disease. From the age group 21-40, 1 male and 2 had female malignant in our study. In HPE showed well differentiated carcinoma was 1, moderately differentiated carcinoma 7, poorly differentiated carcinoma 3 all of CA gall bladder cases and adeno squamous cell carcinoma was 1 case.Conclusion: Ratio of cholelithiasis male to female 1:4.5. Incidence of carcinoma gall bladder is not high in Nepalese population in our study shows though it is one of the common presentations among the cases of the gall bladder disease. Late presentation and delay of diagnosis and poor outcome are the main problems.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>заболевание желчного пузыря</kwd><kwd>камни</kwd><kwd>карцинома желчного пузыря</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Gall bladder disease</kwd><kwd>stones</kwd><kwd>carcinoma gall bladder</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">The text book of surgery-Sabiston W.S 15th edition</mixed-citation><mixed-citation xml:lang="en">The text book of surgery-Sabiston W.S 15th edition</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Pomeranz IS, Shaffer EA. Abnormal gallbladder emptying in a sub- group of patients with gallstones. Gastroenterology 1985;88:787</mixed-citation><mixed-citation xml:lang="en">Pomeranz IS, Shaffer EA. 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