منابع مشابه
Primary Bile Duct Stones and Bacterial Activity
The results of this study suggest that infection with beta-glucuronidase active bacteria is the initial event in the nucleation of primary bile duct stones (PBDS). PBDS from five patients were morphologically fragile and "earthy" with alternating light and dark brown pigment layers with no evidence of a distinct central nucleus that may have been reminiscent of a different structure. Chemically...
متن کاملEUS and Common bile duct stones
Choledocholithiasis is a common disorder, especially in patients older than 60 years, as common bile duct stones may be present in 15% to 60% of cases in this special sample of population. Until recently, endoscopic retrograde cholangiography (ERC), which is a very reliable method for visualizing and extracting gallstones in the same session, was considered the gold-standard for suspected chole...
متن کاملCommon Bile Duct Stones ERCP or Surgery?
Stain, S. C., Cohen, H., Tsuishoysha, M., Donovan, A.J. (1991) Choledocholithiasis Endoscopic sphincterotomy or common bile duct exploration. Annals of Surgery; 213:627-634 A prospective randomized trial was conducted of preoperative endoscopic sphincterotomy and surgery (ES&S) or surgery alone (SA) in 52 patients with cholecystolithiasis and choledocholithiasis that were candidates for electiv...
متن کاملTreatment options for common bile duct stones.
n 83 year old woman presented with a two week history of right upper quadrant pain, pale stools, dark urine, and itch. In the previous five years there had been two episodes of similar symptoms, ultrasound scan showing multiple gall bladder calculi. Past history included hypertension, type 2 diabetes mellitus, and obesity. On examination she was not clinically icteric, apyrexic, but mildly tend...
متن کاملPrimary “Brown Pigment” Bile Duct Stones
Bile duct stones from 42 patients were morphologically and chemically analysed. The calculi from 27 patients had important primary bile duct stone (PBDS) features, consisting of a general ovoid shape and fragile structure, with alternating light and dark brown pigmented layers on cross-section. Chemically these stones contained low levels of cholesterol, with high levels of bilirubin and calciu...
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ژورنال
عنوان ژورنال: Gut
سال: 1997
ISSN: 0017-5749
DOI: 10.1136/gut.40.5.696-a