[Problems in the echographic assessment of the kinetic capacity of the walls of the gallbladder and its sphincter apparatus].

The function of bile secretion is an intricately regulated process. Apart from hormonal control there exists conditioned-reflex regulation (vagus-sympathicus--n. phrenicus dex.). Such a many-sided influence appear to facilitate the development of discoordination of the gallbladder motor-evacuatory function. The present paper addresses advantages of echography in studying the functional status of the bile-secretion system. A technique of assessing the gallbladder kinetics in its interrelation with the sphincter apparatus is proposed, with their various combinations having been identified. A correct assessment of their interrelations, differentiated approach to therapy will, we believe, help in attempts to reduce the recurrence rates and the gravity of the course of the hepatobiliary system inflammatory diseases.