For both males and females the age-standardised prevalence of asymptomatic gallstones found at necropsy in 15 countries correlated strongly with age-standardised mortality from cancers of the uterus, large bowel, and stomach. When deaths from cholecystitis were used as another measure of the frequency of gallstones similar positive correlations were observed across 28 countries. The results sug...

Situs inversus totalis is a rare condition, which presents difficulties in diagnosis and treatment of gallstones due to the reversal location of abdominal organs. In this article we present 2 cases of women in age of 51 and 55 years with situs inversus totalis and gallstones. There are described the clinical and imaging features, also the laparoscopic surgery with the difficulties encountered b...

BACKGROUND Cholelithiasis is the gallstone disease (GSD) where stones are formed in the gallbladder. The main function of the gallbladder is to concentrate bile by the absorption of water and sodium. GSD has high prevalence among elderly adults. There are three major types of gallstones found in patients, White, Black and Brown. The major chemical component of white stones is cholesterol. Black...

Cholesterol gallstones are one of the most prevalent and most costly digestive diseases in the developed countries. Although precipitation of cholesterol from supersaturated bile is the first irreversible physical-chemical step in cholesterol gallstone formation, hepatic hypersecretion of biliary cholesterol is the primary defect in the formation of cholesterol gallstones. The other common abno...

OBJECTIVE To evaluate risk factors for gallstones after gastrectomy. METHODS To identify documents published from 1990 to 2011 the Pubmed, Cochrane Library, Springer Link, CBM and WanFang databases were searched and a meta-analysis was performed with RevMan 5.2 software for odds ratios and 95%CIs. RESULTS Fifteen studies were selected for the meta-analysis. The pooled ORs [95%CIs] were 0.56...

Introduction: A proportion of patients do not get symptomatic relief after cholecystectomy for gallstone disease. The ultrasound finding gallstones may be incidental and peptic ulcer disease the stomach or duodenum, gastro-oesophageal reflux hiatus hernia true cause pain. Symptomatology upper GI diseases can overlapping. Upper abdominal pain secondary to either cholelithiasis gastroduodenal dis...

Bile from patients with mixed gallstones and controls without gallstones was analysed for relative concentrations of bile salts, phospholipids and cholesterol. A significant difference was found in the concentration of bile salts in normal controls and patients with cholelithiasis. The mean values for total bile salts, phospholipids and cholesterol in patients' bile were Mean + S.E. 84.34 + 15....

Biliary lipids of a case who developed in cholecystolithiasis 3 years after ileostomy were analyzed. The hepatic bile in this patient was supersaturated with cholesterol, secondary to the low bile acid pool after ileostomy. Therefore, care must be taken for the development in cholesterol gallstones after ileostomy or ileal resection. Preventive administration of the dissoluble agents for choles...

Abstract Aims Lost spilled gallstones during laparoscopic cholecystectomy is a rare inadvertent complication results in recurrent delayed sepsis. Diagnosis made via retrospective review of operative notes. 2 cases retained were removed surgically, following several years after the initial cholecystectomy. Conclusion presented with symptoms abdominal pain, sepsis intra-abdominal collections. Int...