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stone biliar

A L Chernyshev, R M Filimonov, A V Karasev, V A Neronov, V A Maksimov
Patients with viral hepatitis have disturbances of biliary tract motor function with the tendency to hypertonus of Oddi's sphincter, changes of physic-colloid properties of bile with increase in density of gall and hepatic bile, pH shift to acid side, microlites formation, disorders in biochemical composition of bile. More than 80% patients have biliar insufficiency. According to our data, with the purpose to correct of disturbances of hepatic exocrine function in patients with viral hepatitis and to prevent stone formation, it is reasonable to use together with antiviral therapy also intravenous injection of ozonated physiological solution and preparations of ursodeoxycholic acid...
May 2008: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
Mohamed Ibrahin Ali Taha, Wilson Rodrigues Freitas, Carlos Roberto Puglia, Arnaldo Lacombe, Carlos Alberto Malheiros
OBJECTIVE: This study intended to evaluate predictive factors for cholelithiasis in morbidly obese submitted to gastroplasty with "Y" de Roux reconstruction. METHODS: The population under study was a group of obese patients enrolled in a program of surgical procedure for morbid obesity at the Department of Surgery, College of Medical Sciences, Santa Casa de São Paulo. The exclusion criteria were: patients previously cholecystectomized, patients with diagnosis of pre-operative cholelithiasis and patients with a questionable ultrasonography about existence of billiary stones...
November 2006: Revista da Associação Médica Brasileira
Nahum Méndez-Sánchez, Guadalupe Ponciano-Rodríguez, Norberto C Chávez-Tapia, Misael Uribe
Obesity increases significantly the risk of developing several common gastrointestinal diseases such as gallstone disease (GD) and hepatic steatosis (HS). Elsewhere we have shown a relationship between HDL cholesterol, cholesterol saturation index, and leptin in obese patients loosing weight. Furthermore, leptin plays an important role facilitating HS and possibly in the associated inflammatory process. The aim of this study was to investigate the relationship between GD and HS. The sample was comprised by patients attending the unit for check-up...
November 2005: Gaceta Médica de México
P Katsinelos, I Galanis, I Pilpilidis, G Paroutoglou, P Tsolkas, B Papaziogas, S Dimiropoulos, E Kamperis, D Katsiba, M Kalomenopoulou, A Papagiannis
BACKGROUND: Endoscopic biliary stenting is often used for large or difficult common bile duct (CBD) stones, but the effect of indwelling endoprosthesis on size or fragmentation of stones after long-term treatment with biliary stenting has not been formally established. We compared the stone size or fragmentation of common bile duct stones after a long period of biliary stenting. METHODS: Endoscopic biliary endoprosthesis was performed for 49 high-risk patients with CBD stones too large or difficult to be extracted by conventional endoscopic means...
October 2003: Surgical Endoscopy
Dragos Stojanović, Mirjana Stojanović, Predrag Milojević, Zorica Caparević, Dorde Lalosević, Dragan Radovanović
INTRODUCTION: Common bile duct calculi represent a pathologic entity involving obstructive icterus, cholangitis, hepatic cirrhosis or pancreatitits. Common bile duct calculi mostly have a secondary origin (from gallbladder) in 95% of cases, while primary choledocholithiasis is rare. CLASSIFICATION: From surgical aspect, common bile duct calculi can be: 1. Asymptomatic, without manifested symptoms or signs, 2. Mobile, with intermittent biliar obstruction and disobstruction, 3...
January 2003: Medicinski Pregled
T Løtveit
Biliar calculi from 32 patients with juxtapapillary duodenal diverticula were analyzed by quantitative infrared spectroscopy. In 22 of the patients the calculi were classified as pigment stones and in 10 as cholesterol stones. Calcium bilirubinate was the main component in the pigment stones, with a median value of 45%; the median cholesterol content was 7.5%. In the cholesterol stones median calcium bilirubinate content was 1% and median cholesterol content 95.5%. Calcium carbonate was found in small amounts in only nine of the calculi...
August 1982: Scandinavian Journal of Gastroenterology
C A Serra, E B Recalde, G I Martellotto
Congenital cystic segmentary dilatation of the intrahepatic biliary ducts is a rare disease. Although several cases has been described in medical literature, its occurrence such as it was originally referred is exceptional. Some cases coexist with congenital hepatic fibrosis and portal hypertension. A characteristic phenomenon is the formation of stones and canalicular infection. In this article, three cases of Caroli disease (females, 57, 53 and 58 years old) are described. Case n 1 was a complex malformation including: a) cystic and segmentary dilatations of the intrahepatic biliar ducts; b) intra and extrahepatic lithiasis and recurrent infections; c) fusion of the choledocus and gallbladder in a common sac; d) hepatic cavernosus hemangioma and a supernumerarious lobe...
1987: Revista de la Facultad de Ciencias Médicas
S Rojas Ortega, L de la Garza Villaseñor, M Campuzano Fernández
Transduodenal sphincteroplasty is a surgical procedure indicated for treatment and prophylaxis of biliary tract stones and Oddi's sphincter fibrosis. This report analyzes the experience in Mexico City at Instituto Nacional de la Nutrición "Salvador Zubirán", in the last 35 years. We report the indications, morbidity and mortality rates, risk factors which have influence in the final outcome, as well as the long term effectivity. We used the chi-square analysis for measuring this correlation. Sphincteroplasty was effective for long term biliary permeability in 93%...
January 1991: Revista de Gastroenterología de México
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