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Luiz Eduardo Imbelloni
AIMS: In our group, after a study showing that spinal anesthesia is safe when compared with general anesthesia, spinal anesthesia has been the technique of choice for this procedure. This is a prospective study with all patients undergoing LC under spinal anesthesia in our department since 2007. SETTINGS AND DESIGN: Prospective observational. MATERIALS AND METHODS: From 2007 to 2011, 369 patients with symptoms of colelithiasis, laparoscopic cholecystectomy were operated under spinal anesthesia with pneumoperitoneum and low pressure CO2...
October 2014: Saudi Journal of Anaesthesia
F F Carvalho, K Bensebaa
This paper presents a new method of localization and segmentation of colelithiasis crystals. This disease is characterized by crystals which are composed by irregular substances in the bile that appear in the gallbladder and can cause pain to the individual. Since the actual evaluation is done by radiologists and lacks precise, objective and quantitative assert, we present an algorithm which locates and segments the crystals using RunningHills algorithm, giving a quantitative approach to the diagnostic of this disease...
2010: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
T M Tsaregorodtseva, T I Serova, E V Vinnitskaia, E A Sabel'nikova, O V Berezina
AIM: To examine content, diagnostic and prognostic role of autologous antibodies in gastrointestinal diseases (GID). MATERIAL AND METHODS: Enzyme immunoassay was used to measure content of autologous antibodies to N+/K+ ATPase (Aab) of gastric parietal cells, mitochondria, microsomes, tissue transglutaminase in blood serum of 196 patients with gastric, gallbladder, small and large intestinal diseases. Aab relations with heterologous antibodies were studied with kits provided by Bektor-Best (Novosibirsk), DRG-Diagnostics, Orgentec (Germany) and others...
2009: Terapevticheskiĭ Arkhiv
Meir Mizrahi, Gadi Lalazar, Yuval Horwich, Tomer Adar, Rifaat Safadi
Direct hyperbilirubinemia, may result from a variety of pathologies, including structural obstructions with biliary tract occlusions (as in cholelithiasis), infections (e.g. hepatitis) and genetic disorders (Rotor's and Dubin-Johnson's syndrome). One of the less common and probably more frequently underdiagnosed causes is benign recurrent intrahepatic cholestasis (BRIC). First described in 1959, BRIC was further classified into two subgroups which differ in their pathogenesis and clinical manifestation. Both BRIC types originate from impaired function bile salt excretion from hepatocytes to the canaliculi which is mediated by the bile salt export pump (BSEP) which is located on the hepatyocyte membrane, unevenly distributed within the membrane lipid bilayer...
May 2008: Harefuah
Paulo Roberto Corsi, Danilo Gagliardi, Mozar Horn, Celso de Castro Pochini, Reinaldo Martins de Oliveira Neto
OBJECTIVE: To analyze clinical, abdominal ultrasound, upper digestive endoscopic, esophageal manometric and prolonged esophageal pH-monitoring findings in patients with typical symptoms of GERD. METHODS: The study included a total of 251 patients with typical GERD symptoms. Clinical data, Body Mass Index, abdominal ultrasound aspects and upper digestive endoscopic data are reported. Manometry and esophageal pH-monitoring were performed. RESULTS: One-hundred-and-seventy-two patients were female (68...
March 2007: Revista da Associação Médica Brasileira
Rosa Bertolín-Bernades, Luis Sabater-Ortí, Julio Calvete-Chornet, Bruno Camps-Vilata, Norberto Cassinello-Fernández, Miguel Oviedo-Bravo, Purificación Ivorra-García Monco, Raúl Cánovas-de Lucas, Salvador Lledó-Matoses
The rate of choledocholithiasis at the time of elective surgery after mild acute biliary pancreatitis is still unclear because it decreases rapidly after the onset. The aims of this study are as follows: (1) To investigate whether the incidence of choledocholithiasis in mild biliary pancreatitis is higher than in patients with symptomatic cholelithiasis. (2) To evaluate the usefulness of intraoperative cholangiography in the diagnosis of unsuspected choledocholithiasis in mild pancreatitis. Prospective study including 130 patients undergoing laparoscopic surgery and classified into two groups: mild biliary pancreatitis (n = 44) and symptomatic cholelithiasis (n = 86)...
July 2007: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
A G Rizzo, M Barbuscia, M Sanò, A Cancellieri, P Nicotina, G Stassi, G Lemma, F Lemma
The authors are interested in determining causes of gallbladder cancer (GBC). By this intention, they theorize a correlation between genetic modifications (which are responsible of malignant transformation of biliary epithelium) and some intestinal infections. From 1999 to 2004 they observed 15 GBC and all 15 gallbladder have been analyzed histologically and from microbiological aspect; by these means from 1999 till 2004 they have studied also 30 persons with colelithiasis. The authors noticed that bile of both groups contained, in three cases in the first and in 8 cases in the second, a germ named Escherichia Coli which normally lives in intestine, while in 10 operated gallbladders of the first group and 12 of the second there was a positive for k-ras...
May 2005: I Supplementi di Tumori: Official Journal of Società Italiana di Cancerologia ... [et Al.]
G Meyer, F Guizzardi, S Rodighiero, R Manfredi, S Saino, C Sironi, M L Garavaglia, C Bazzini, G Bottà, P Portincasa, G Calamita, M Paulmichl
The function of the gallbladder is not only to store bile, but also to concentrate it during the interdigestive phase by means of salt-dependent water reabsorption. On the contrary, secretions of water and salt take place during the digestive phase. Dysregulation of ion absorption or secretion are common in many gallbladder diseases, such as colelithiasis. Transepithelial absorptions are determined by the Na+/K+ pump on the basolateral membrane, and by several apical membrane Na(+)-coupled transporters. Among these, some isoforms of Na+/H+ and Cl-/HCO3(-) exchangers have been studied...
June 2005: Current Drug Targets. Immune, Endocrine and Metabolic Disorders
Piero Ruggenenti, Andrea Remuzzi, Patrizia Ondei, Giorgio Fasolini, Luca Antiga, Bogdan Ene-Iordache, Giuseppe Remuzzi, Franklin H Epstein
BACKGROUND: The fluid filling renal cysts in human polycystic kidneys is secreted chiefly by the tubular epithelium lining the cysts via secondary chloride transport. Inhibiting this process by somatostatin therapy should induce shrinking of renal cysts. METHODS: In this randomized, cross-over, placebo-controlled trial we compared the risk/benefit profile of 6-month treatment with long-acting somatostatin (octreotide-LAR, 40 mg intramuscularly every 28 days) or placebo in autosomal-dominant polycystic kidney disease (ADPKD) patients with mild-to-moderate renal insufficiency and no evidence of other kidney disease...
July 2005: Kidney International
No abstract text is available yet for this article.
July 11, 1965: Orvosi Hetilap
No abstract text is available yet for this article.
September 1952: Giornale Italiano di Chirurgia
L C de Oliveira, R S Nascimento, A Rocha, E G Gonçalves, J M da Silva, V A de Oliveira, R M Ferreira, A G Buso
The studies on the occurrence of biliary lithiasis in patients with chronic Chagas' disease have shown conflicting results. Aiming at contributing to a better understanding of the topic was assessed, by ultrasonographic scan, the frequency of Colelithiasis in chagasic patients with different anatomo-clinical forms of the disease. A total of 128 patients were studied, 85 males (mean age: 53 +/- 13 years) and 43 females (mean age: 53 +/_ 10 years) nineteen males and 18 females had the cardiac form ; 32 males and 19 females the digestive form; 20 males and 3 females the cardiac and digestive forms simultaneously; and 14 males and 3 females the indeterminate form...
October 1997: Arquivos de Gastroenterologia
K Magyar
No abstract text is available yet for this article.
July 21, 1968: Orvosi Hetilap
M Arosio, N Bazzoni, G Faglia
Octreotide, an analog of somatostatin, is a valid tool for the cure of acromegalic disease. This compound has a prolonged half-life and is more selective than native somatostatin in suppressing growth hormone (GH) secretion. Octreotide, 100 micrograms tid sc, decreases GH levels and improves clinical symptoms in about 85% of acromegalic patients, lowering GH to below 5 ng/ml in 45% and to below 2 ng/ml in 17-21%. Octreotide normalizes somatomedin-C (IGF-I) levels in 36-50% of patients. The increase of dosage up to 1500 micrograms/day does not appear useful in poor responsive patients...
January 1990: Minerva Endocrinologica
R W Raven
An account is given of the findings obtained with open liver biopsy in 111 patients with various diseases, including 78 with cholecystitis and colelithiasis where unsuspected liver pathology, including biliary cirrhosis, was found in 37 patients. An exact diagnosis of hepatic metastasis by biopsy has therapeutic importance in malignant diseases, and in some patients, particularly those with argent-affinoma, liver involvement is compatible with normal life for many years.
February 1975: Annals of the Royal College of Surgeons of England
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