Tubage in Karlovy Vary

Tubage (фр. tubage — tube insertion, probe, intubation) — medical procedure during which stimulation of biliary excretion occurs in order to empty the gallbladder. With the help of duodenal probe (probe tubeb) and without it (tubeless, or blind, tubage). Tubeless tubing is used in spa therapy. When conducting a tubeless tubing, the patient is placed on a bed or couch on the right side with bent knees, and one or two choleretic drugs are given to drink for half an hour - 1-2 cups of heated mineral water. To enhance biliary excretion in the right hypochondrium area they put a heating pad. The procedure lasts 60-90 minutes. It is recommended to spend tubages at least 1 time a week, the course duration is at least 6-8 weeks. To enhance the choleretic effect, 10-15 g of magnesium sulfate or Karlovy Vary salt can be added to the mineral water. It was shown in a number of diseases of the liver, biliary tract, duodenum, pancreas (biliary dyskinesia atopic and hypotonic type, chronic non-calculous cholecystitis, cholestatic hepatitis, chronic pancreatitis, duodenitis, after vagotomy et al.). Contraindications: acute illness or exacerbation of a chronic process (cholecystitis, pancreatitis, hepatitis, erosive duodenitis, peptic ulcer); the probe method is also contraindicated in organic diseases of the nasopharynx, esophagus, severe forms of ischemic disease and arterial hypertension, portal cirrhosis of the liver.