• Title/Summary/Keyword: cholelithiasis

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Frequency of Cholelithiasis and Biliary Pathology in the Easter Island Rapanui and Non-Rapanui Populations

  • Bravo, Eduardo;Contardo, Jorge;Cea, Jerson
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1485-1488
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    • 2016
  • Background: Chile is one of the countries with the highest prevalence of cholelithiasis worldwide, considering the Mapuche ethnicity as a risk factor for developing this pathology. Moreover, cholelithiasis is the main risk factor for developing gallbladder cancer, being the fifth cause of cancer death in Chile. The purpose of this study was to compare the frequency of cholelithiasis and biliary pathology among the population belonging to Rapanui ethnicity and non-Rapanui population living on Easter Island. Materials and Methods: In this retrospective case-control study, a total of 609 abdominal ultrasonographs performed consecutively in Hanga Roa Hospital during the period August 2012 to January 2015 were analyzed. Multiple logistic regression was used to obtain odds ratio (OR) and 95% confidence intervals (95% CI) of cholelithiasis and biliary pathology, adjusting for age, gender and referral diagnostic hypothesis. Results: In the Rapanui population the frequency for cholelithiasis and biliary pathology was 6.4% and 13%, meanwhile for the non-Rapanui population it was 13% and 22% respectively. Compared to the non-Rapanui Chilean population, the Rapanui ethnicity presented an OR of 0.53 (95% CI: 0.29-0.95) for cholelithiasis and OR of 0.52 (95% CI: 0.33-0.82) for biliary pathology. Conclusions: We found statistically significant ethnic differences in the frequency of cholelithiasis and biliary disease among the population of Rapanui and non-Rapanui ethnicity, so that this could be a protective factor for the development of biliary pathology, given the Chilean population context. Other studies including community population to determine the real prevalence of cholelithiasis and analyze the protective role of Rapanui ethnicity on this disease are necessary.

Successful Treatment of Cholelithiasis with Daesiho-tang : A Case Report (대시호탕으로 호전된 담석증 환자 1례에 대한 증례보고)

  • Kim, Hae-yoong;Kim, Min-ji;Won, Seo-young;Ryu, Ju-young;Jung, Eun-sun;Yoo, Ho-ryong;Seol, In-chan;Kim, Yoon-sik
    • The Journal of Internal Korean Medicine
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    • v.41 no.5
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    • pp.761-768
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    • 2020
  • Objectives: The prevalence of cholelithiasis is increasing in both the East and West, and this can have a great impact on the quality of life. This study reports on a patient whose cholelithiasis was improved using Daesiho-tang. Methods: A patient diagnosed with cholelithiasis was treated with acupuncture and herbal medicine. Abdominal pain due to cholelithiasis was evaluated by a numerical rating scale. Results: After 35 days of taking Daesiho-tang, the symptoms of abdominal pain and indigestion improved. Even afterwards, the patient maintained an improved quality of life without recurrence. Conclusions: Korean medicine treatment was effective in improving the symptoms of cholelithiasis. However, studies of various cases will likely be needed in the future.

Investigation of the Prevalence of Cholelithiasis in Liver Cirrhosis Cases and Controls on Upper Abdominal Ultrasound Images (상복부 초음파 영상에서 간경변증 환자군과 대조군의 담석증 유병률 연구)

  • Cheong-Hyeon Jo;Yong-Gwon Kim;Se-Jong Yoo;Seok-Hwan Bae
    • Journal of radiological science and technology
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    • v.46 no.6
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    • pp.553-560
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    • 2023
  • This study aimed to understand the correlations of prevalence and relevant variables of cholelithiasis with a group of cirrhosis patients and a control group targeting the subjects who received the abdomen ultrasonography from K university hospital in Daejeon Metropolitan City from January 1st 2019 to December 31st. And the results are as follows. First, the group of cirrhosis patients showed relatively higher prevalence of cholelithiasis than the control group as ordinary people, which showed statistically significant differences. Second, in the control group, there were statistically significant differences in the occurrence of cholelithiasis with respect to age. Conversely, in the cirrhosis patient, there was no statistically significant association observed with age; nonetheless, age itself exhibited statistical significance. Third, according to sex, the prevalence was not statistically significant in both group of cirrhosis patients and control group. Fourth, in each degree and cause of subdivided cirrhosis, the correlation was only shown in each degree. In the results of this study, the cirrhosis patients showed high correlation with the incidence of cholelithiasis, and the control group showed the high correlation with the incidence of cholelithiasis according to age.

A Case of Gallbladder Stones Associated with Anti-E Antibody Hemolytic Disease in a Neonate (신생아에서 담석을 동반한 Anti-E 항체에 의한 동종 면역성 용혈성 질환 1례)

  • Lee, Hyo-Jin;Hong, Seung-Soo;Sim, Yun-Hee;Kim, Eun-Ryoung
    • Neonatal Medicine
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    • v.15 no.2
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    • pp.190-195
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    • 2008
  • Cholelithiasis is rarely recognized in children, especially in infants. Hemolytic disorders, long-term total parenteral nutrition (TPN), congenital anomalies of the biliary tree leading to stasis of bile flow, congenital IgA-deficiency, furosemide treatment, and prolonged fasting have been reported as predisposing factors for cholelithiasis in childhood. Hemolytic disease of the newborn due to anti-E has rarely been reported as a risk factor for cholelithiasis. We report a case of gallbladder stones in a neonate associated with anti-E antibody hemolytic disease.

A Case Study on the Improvement of Chronic Indigestion and Fatigue in Patients with Cholelithiasis Using Ortho-Cellular Nutrition Therapy (OCNT) (세포교정영양요법(OCNT)을 이용한 담석증 환자 만성소화불량과 피로개선 사례 연구)

  • Min-soo, Son
    • CELLMED
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    • v.13 no.4
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    • pp.16.1-16.4
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    • 2023
  • Objective: A case report on improving the chronic indigestion and fatigue of patients with cholelithiasis by Ortho-Cellular Nutrition Therapy (OCNT). Methods: A Korean female in her 40s who had a very low quality of life due to chronic indigestion and severe fatigue caused by her diagnosed cholelithiasis. Results: The practice of Ortho-Cellular Nutrition Therapy (OCNT) improved fatigue and problems in gastrointestinal functions. Conclusion: Ortho-Cellular Nutrition Therapy (OCNT) can be effective in relieving the symptoms of patients with problems in gastrointestinal functions.

Cholelithiasis and Choledolithiasis in a Dog (개의 담석증)

  • 윤정희;허진영;황국진;장동우;이영원;윤화영;권오경;최민철
    • Journal of Veterinary Clinics
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    • v.17 no.1
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    • pp.163-167
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    • 2000
  • Cholelithiasis and choledolithiasis were diagnosed with serum chemistry, abdominal radiography and ultrasonography in a 2.0 kg, 10 year-old Yorkshire Terrier dog showing signs of anorexia, vomiting, iceterus and depression. In serum chemistry, the level of alanine transferase, alkaline phosphatase, aspartate transferase, total bilitrubin and direct bilirubin were elevated. On abdominal radiographs, focal lesions with increased radiopacity were seen in the hepatic region and the size of liver was increased. In ultrasonographic examination, it were seen that distension of gall bladder, hypercehoic change of liver, obstruction of cystic duct by calcult and calculi in the gall bladder. Cholecystectomy was undertaken and there were no complications after the operation.

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A Case of Epstein-Barr Virus Infection with Gall Bladder and Common Bile Duct Stones in an Otherwise Healthy Child

  • Park, Jong-Hyun;Noh, Jin-Chul;Park, Hyang-Mi;Jung, Yu-Soek;Park, Sei-Hyeog;Hong, H. Christian;Shin, Hye-Jung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.15 no.1
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    • pp.57-61
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    • 2012
  • Cholelithiasis and choledocholithiasis are uncommon pediatric diseases, although clinicians have seen them with increasing frequency in children in recent years. Moreover, no case of Epstein-Barr virus (EBV) infection with cholelithiasis and choledocholithiasis has been previously reported in the English literature. We report a pediatric patient with EBV infection, a gall bladder stone, and a common bile duct stone, may have had GB and CBD stones prior to her EBV infection, whom we successfully treated with antibiotics and laparoscopic cholecystectomy for cholecystitis.

The Metabolic Syndrome and Risk Factors for Biliary Tract Cancer: A Case-control Study in China

  • Wu, Qiao;He, Xiao-Dong;Yu, Lan;Liu, Wei;Tao, Lian-Yuan
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.5
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    • pp.1963-1969
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    • 2012
  • Objectives: Recent data show that the metabolic syndrome may play a role in several cancers, but the etiology for biliary tract cancer is incompletely defined. The present aim was to evaluate risk factors for biliary tract cancer in China. Methods: A case-control study in which cases were biliary tract cancer patients referred to Peking Union Medical College Hospital (PUMCH). Controls were randomly selected from an existing database of healthy individuals at the Health Screening Center of PUMCH. Data on the metabolic syndrome, liver diseases, family history, and history of diabetes and hypertension were collected by retrospective review of the patients' records and health examination reports or by interview. Results: A total of 281 patients (102 intrahepatic cholangiocarcinoma (ICC), 86 extrahepatic cholangiocarcinoma (ECC) and 93 gallbladder carcinoma (GC)) and 835 age- and sex-matched controls were enrolled. $HBsAg^+/anti-HBc^+$ (P=0.002), history of diabetes (P=0.000), cholelithiasis (P=0.000), TC (P=0.003), and HDL (P=0.000) were significantly related to ICC. Cholelithiasis (P=0.000), Tri (P=0.001), LDL (P=0.000), diabetes (P=0.000), Apo A (P=0.000) and Apo B (P=0.012) were significantly associated with ECC. Diabetes (P=0.017), cholelithiasis (P=0.000) and Apo A (P=0.000) were strongly inversely correlated with GC. Conclusion: Cholelithiasis, HBV infection and metabolic symptoms may be potential risk factors for the development of biliary tract cancer.

Cholelithiasis as a Risk Factor for Gallbladder Cancer (담낭암 발생의 위험인자로서의 담석증)

  • Oh, Dong Jun;Jang, Dong Kee;Lee, Jun Kyu
    • Journal of Digestive Cancer Reports
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    • v.7 no.2
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    • pp.51-56
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    • 2019
  • Although the incidence of gallbladder cancer is relatively low, Korea is one of the countries with the highest incidences of gallbladder cancer in the world. Gallbladder cancer is also often diagnosed in an advanced state, and has poor prognosis. A gallstone is one of the major risk factors for gallbladder cancer and a majority of epidemiological studies support correlation between cholelithiasis and gallbladder cancer. Clear mechanism, however, regarding how gallstones cause gallbladder cancer is not known. In this article, results of studies about the relationship between gallstone and gallbladder cancer were thoroughly reviewed. Also, it was discussed whether prophylactic cholecystectomy is necessary to prevent gallbladder cancer in asymptomatic gallstone patients without other risk factors such as a gallbladder polyp or porcelain gallbladder.

A Case of Cholecystotomy in a Dog with Cholelithiasis (개에서 담석제거를 위한 담낭절개술의 일례)

  • 구자민;황재민;김현희;이원익;손우진
    • Journal of Veterinary Clinics
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    • v.18 no.4
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    • pp.455-458
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    • 2001
  • A twelve-month old female, shih-tzu, was presented to diagnose a hind limb ataxia to the Animal Teaching Hospital, Gyeongsang National University. Even though a variety of physical and neurological examination was performed, the cause of the ataxia was not understood. In serum analysis, an elevated levels of ALT, $\gamma$-GTP and LDH were found. A gallstone was subsequently observed at the right 9 and 10th intercostal region on ultrasonography and radiography. Cholelithiasis was diagnosed, and then cholecystotomy was undertaken. No complications were occurred after the operation. The gallstone removed by cholecystotomy was composed of calcium, carbonate and oxalate, identified by a black pigment gallstone.

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