scholarly journals Pathophysiology of Gallstones

2021 ◽  
Author(s):  
Mela Ram Attri ◽  
Irshad Ahmad Kumar ◽  
Ferkhand Mohi Ud Din ◽  
Ashiq Hussain Raina ◽  
Aakarshit Attri

Gallstones are the stones developing in the gallbladder. Evolution of pathophysiology changes the trends of treatment of a disease. Laparoscopic revolution was only because of gallstones diseases. The shifting of food habits increased the incidence of diseases in developing countries. There are mainly three types of stones Cholesterol, pigment and brown stones. The pathophysiology of which is different for each type. Cholesterol stones being most common owing to the risk factors being prevalent in the developing and developed societies. Pigment stones being most common in blood disorder patients while brown stones are most common in common bile duct and are infected ones.

2018 ◽  
Vol 46 (7) ◽  
pp. 2595-2605 ◽  
Author(s):  
Sujuan Li ◽  
Bingzhong Su ◽  
Ping Chen ◽  
Jianyu Hao

Objective Late complications after endoscopic biliary sphincterotomy (EST) include stone recurrence, but no definite risk factors for recurrence have been established. This study was performed to identify the predictors of recurrence and evaluate the clinical outcomes of EST for common bile duct stones. Methods In total, 345 eligible patients who successfully underwent EST were evaluated and followed up. Statistical analysis was performed on patients with recurrence or who had undergone at least 6 months of reliable follow-up to detect the risk factors for recurrence. Results A total of 57 patients (16.52%) developed recurrence of common bile duct stones. The median length of time until recurrence was 10.25 months (range, 6–54.4 months). Univariate analyses showed that the following factors were associated with recurrence: cholecystectomy prior to EST, prior biliary tract surgery, periampullary diverticulum, diameter of the common bile duct (>15 vs. ≤15 mm), quantity of stones, complete stone removal at the first session, and lithotripsy. Multivariate analysis identified two independent risk factors for recurrence: previous biliary tract surgery and lithotripsy. Conclusions EST for common bile duct stones is safe as indicated by patients’ long-term outcomes. Patients with a history of biliary surgery or lithotripsy are more prone to recurrence.


2000 ◽  
Vol 51 (4) ◽  
pp. AB190
Author(s):  
Dong Il Kim ◽  
Myung Hwan Kim ◽  
Sung Koo Lee ◽  
Dong Wan Seo;Won Boem Choi ◽  
Sang Soo Lee ◽  
...  

2014 ◽  
Vol 79 (5) ◽  
pp. AB354 ◽  
Author(s):  
Jin Won Hwang ◽  
Jung Sik Choi ◽  
Sang Heon Lee ◽  
Sam Ryong Jee ◽  
Kyung Sun Ok ◽  
...  

2018 ◽  
Vol 154 (6) ◽  
pp. S-303-S-304
Author(s):  
Fabiana Sklerovsky Benjaminov ◽  
Yassin Sharif ◽  
Assaf Stein ◽  
Timna Naftali ◽  
Ido Lish ◽  
...  

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