Cholesterol Microlithiasis: Bacteriology, Gallbladder Bile and Stone Composition

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Cholesterol Microlithiasis: Bacteriology, Gallbladder Bile and Stone Composition

It is not known whether microcalculi possess structural differences compared with larger stones or whether they represent simply an earlier stage in stone disease. We carried out a controlled study on 10 patients affected by gallbladder cholesterol microlithiasis (CM). In all patients, samples from all parts of the stones were studied by X-ray diffraction and by infrared spectrophotometry. Bile...

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Gallbladder function, cholesterol stones, and bile composition.

Gallbladder bile obtained at operation from five patients with no symptoms of biliary disease was undersaturated with cholesterol in every case. However, gallbladder bile from patients with stones composed of 97-100% crystalline cholesterol was on average just saturated with cholesterol when the gallbladder was functioning and undersaturated when it was not. Regardless of gallbladder function, ...

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Relation of gallbladder motility to viscosity and composition of gallbladder bile in patients with cholesterol gallstones.

BACKGROUND/AIMS Increased viscosity and supersaturation of cholesterol in gallbladder bile, as well as an impaired motility of the gallbladder, are considered to be important factors in the pathogenesis of cholesterol gallstones. However, the relation of these parameters has not yet been determined. MATERIAL AND METHODS Bile viscosity (mPa s) was measured by rotation viscosimetry and the comp...

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Biliary lipid composition in cholesterol microlithiasis.

BACKGROUND Little information is available on the pathogenesis of cholesterol microlithiasis, and it is not clear if biliary lipid composition in these patients is similar to changes seen in cholesterol gall stone patients. AIMS To measure biliary lipid composition in patients with cholesterol microlithiasis. PATIENTS Eleven patients with cholesterol microlithiasis, 20 cholesterol gall ston...

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Occurrence of Cholesterol Crystals in Gallbladder and Hepatic Bile

Theoccurrence of cholesterol crystalswasstudied in 20 consecutive gallstone patientswith functioning gallbladders. The frequency with which crystals were found rose sharply with the number of stones. Gallbladder bile was found more often to contain cholesterol crystals than hepatic bile of the same individual. Such crystals were absent in T tube drain bile from 10 consecutive choledochostomy pa...

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ژورنال

عنوان ژورنال: HPB Surgery

سال: 1989

ISSN: 0894-8569

DOI: 10.1155/1989/80465