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[Biliary calculosis, cholesterosis of the gallbladder, xanthogranulematous cholecystitis: clinical-morphological parallels].
Ter Arkh. 2008; 80(2):66-71.TA

Abstract

AIM

The retrospective analysis of prevalence, peculiarities of duration of biliary calculosis without gall bladder cholesterosis, biliary calculosis with gall-bladder cholesterosis and xanthogranulematous cholecystitis among persons who underwent cholecystectomy using clinical, instrumental and morphological data. MATERIAL AND METHODS. The data was evaluated obtained from medical cards of 4073 inpatients operated for cholelithiasis in 1999-2005. Preoperative clinical condition, body mass index, the results of abdominal ultrasonography, morphology of removed gall-bladders were evaluated. Statistical processing was made by Student's criterion and correlation analysis.

RESULTS

After cholecystectomy the diagnosis of cholelithiasis was confirmed in 4020 patients (98.7%). 1177 patients had concomitant gall-bladder cholesterosis (GBC), 38 patients-- xanthogranulematous cholecystitis (XC). GBC and XC were diagnosed morphologically only in the postoperative stage. The patients were divided into three groups: cholelithiasis without GBC (32 patients), cholelithiasis with GBC (68 patients), XC (38 patients). Diseases of the gall-bladder occur more frequent in women and older patients. XC in males occurred 2 times more frequently, cholelithiasis without cholesterosis and XC ran 2 times less. The above diseases are related with disorders of metabolism and lipid transport. GB dyskinesia has different causes in each of the diseases.

CONCLUSION

The analysis determined peculiarities of duration of cholelithiasis without gall-bladder cholesterosis, cholelithiasis with GBC and XC. This necessitate differential therapy.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

rus

PubMed ID

18372600

Citation

Shcherbinina, M B., and E V. Zakrevskaia. "[Biliary Calculosis, Cholesterosis of the Gallbladder, Xanthogranulematous Cholecystitis: Clinical-morphological Parallels]." Terapevticheskii Arkhiv, vol. 80, no. 2, 2008, pp. 66-71.
Shcherbinina MB, Zakrevskaia EV. [Biliary calculosis, cholesterosis of the gallbladder, xanthogranulematous cholecystitis: clinical-morphological parallels]. Ter Arkh. 2008;80(2):66-71.
Shcherbinina, M. B., & Zakrevskaia, E. V. (2008). [Biliary calculosis, cholesterosis of the gallbladder, xanthogranulematous cholecystitis: clinical-morphological parallels]. Terapevticheskii Arkhiv, 80(2), 66-71.
Shcherbinina MB, Zakrevskaia EV. [Biliary Calculosis, Cholesterosis of the Gallbladder, Xanthogranulematous Cholecystitis: Clinical-morphological Parallels]. Ter Arkh. 2008;80(2):66-71. PubMed PMID: 18372600.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Biliary calculosis, cholesterosis of the gallbladder, xanthogranulematous cholecystitis: clinical-morphological parallels]. AU - Shcherbinina,M B, AU - Zakrevskaia,E V, PY - 2008/4/1/pubmed PY - 2008/5/23/medline PY - 2008/4/1/entrez SP - 66 EP - 71 JF - Terapevticheskii arkhiv JO - Ter. Arkh. VL - 80 IS - 2 N2 - AIM: The retrospective analysis of prevalence, peculiarities of duration of biliary calculosis without gall bladder cholesterosis, biliary calculosis with gall-bladder cholesterosis and xanthogranulematous cholecystitis among persons who underwent cholecystectomy using clinical, instrumental and morphological data. MATERIAL AND METHODS. The data was evaluated obtained from medical cards of 4073 inpatients operated for cholelithiasis in 1999-2005. Preoperative clinical condition, body mass index, the results of abdominal ultrasonography, morphology of removed gall-bladders were evaluated. Statistical processing was made by Student's criterion and correlation analysis. RESULTS: After cholecystectomy the diagnosis of cholelithiasis was confirmed in 4020 patients (98.7%). 1177 patients had concomitant gall-bladder cholesterosis (GBC), 38 patients-- xanthogranulematous cholecystitis (XC). GBC and XC were diagnosed morphologically only in the postoperative stage. The patients were divided into three groups: cholelithiasis without GBC (32 patients), cholelithiasis with GBC (68 patients), XC (38 patients). Diseases of the gall-bladder occur more frequent in women and older patients. XC in males occurred 2 times more frequently, cholelithiasis without cholesterosis and XC ran 2 times less. The above diseases are related with disorders of metabolism and lipid transport. GB dyskinesia has different causes in each of the diseases. CONCLUSION: The analysis determined peculiarities of duration of cholelithiasis without gall-bladder cholesterosis, cholelithiasis with GBC and XC. This necessitate differential therapy. SN - 0040-3660 UR - https://www.unboundmedicine.com/medline/citation/18372600/[Biliary_calculosis_cholesterosis_of_the_gallbladder_xanthogranulematous_cholecystitis:_clinical_morphological_parallels]_ L2 - http://www.diseaseinfosearch.org/result/1342 DB - PRIME DP - Unbound Medicine ER -