Veränderungen an »stillen« Gallenblasensteinen: Röntgendiagnostische und symptomatologische Beobachtungen über 30 Jahre

Autor:	C. Wolpers
Rok vydání:	2008
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Gallbladder General Medicine Gallstones medicine.disease Surgery medicine.anatomical_structure Gallstone ileus medicine Cholecystitis Pancreatitis Cystic duct Cholecystectomy business Calcification
Zdroj:	DMW - Deutsche Medizinische Wochenschrift. 111:1186-1191
ISSN:	1439-4413 0012-0472
DOI:	10.1055/s-2008-1068605
Popis:	Between 1950 and 1980, a total of 145 patients with pain-free gallstones in the gallbladder and open cystic duct were followed for a mean observation period of 13.5 years. Pigment stones made up 25.5% of the total, cholesterol the rest. Growth of stones was noted in 70% of cases, new stones in 14%, and calcification in 25%. Colics occurred in 29%, severe ulcerative cholecystitis in 4% and passage of stones with pancreatitis in 5.5%. Constant cystic duct occlusion occurred in 18%, causing mild gallbladder inflammation in 40% of them. Cholecystectomy should be limited to large, old stones, to prevent gallstone ileus. Recently formed cholesterol stones should be removed as soon as possible by litholysis. Otherwise expectant waiting with regular follow-up is indicated.
Databáze:	OpenAIRE
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