Bile ducts and bile duct stones

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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...

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Common Bile Duct Stones ERCP or Surgery?

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Treatment 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...

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ژورنال

عنوان ژورنال: Gut

سال: 1997

ISSN: 0017-5749

DOI: 10.1136/gut.40.5.696-a