[Nutrition disorders in patients with acute calculous cholecystitis]

The study of 226 patients with acute calculous cholecystitis provided arguments in favour of I. V. Davydovsky ideas on pyoresorptive fever: there was suppuration, resorption, protein loss. Anthropometric parameters remained stable in the presence of hypoalbuminemia, hypovolemia. Hypoproteinemia is attributed to stress evident from high cortisol level in the plasma from hospitalized patients. These shifts in nutritional status are unfavorable for forthcoming surgery. Transcutaneous transhepatic puncture and laparoscopy of the gall bladder are able to correct unwanted effects and prepare the patients for radical surgery.