Failure of cholesterol homeostasis in the body can lead to cholesterol gallstone disease, the most common and costly gastrointestinal disease. The primum movens in cholesterol gallstone formation is the hypersecretion of hepatic cholesterol; this condition leads to bile chronically supersaturated with cholesterol which is prone to rapid precipitation as cholesterol crystals in the gallbladder. ...

A junior resident begins treatment of an elderly woman in the Emergency Department, who complains of severe epigastric abdominal pain for the last 6 hours with associated fever and vomiting. She has a rigid abdomen with diminished bowel tones, guarding and rebound. She is requesting pain medicine, but the resident refuses to give her any medications perhaps recalling the dogmatic teaching of hi...

BACKGROUND The number of bariatric interventions for morbid obesity is increasing worldwide. Rapid weight loss is a major risk factor for gallstone development. Approximately 11 % of patients who underwent Roux-en-Y gastric bypass develop symptomatic gallstone disease. Gallstone disease can lead to severe complications and often requires hospitalization and surgery. Ursodeoxycholic acid (UDCA) ...

OBJECT Microvascular decompression (MVD) has become one of the primary treatments for typical trigeminal neuralgia (TN). Not all patients with facial pain, however, suffer from the typical form of this disease; many patients who present for surgical intervention actually have atypical TN. The authors compare the results of MVD performed for typical and atypical TN at their institution. METHOD...

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...

78 female and 31 male Danish gallstone cases found by autopsy were studied. The mass of the gallstone(s) from each patient was recorded and the stones were ground. The content of cholesterol in the mixed material from each patient was determined, using the Liebermann-Burchard reaction. The ratio Gallstone(s) ash mass/Gallstone(s) mass was determined, and where this ratio exceeded 0.10, calcium ...

The early appearance of cholesterol gallstones is very common in Chile. To elucidate the mechanisms involved in this phenomenon, the size of the bile acid pool and the secretion of biliary lipids were studied in two groups of young women with normal weights and radiologically functioning gallbladders: nine with cholesterol gallstones and 14 healthy volunteers. The bile acid pool was similar in ...

BACKGROUND/AIMS To evaluate children with gallstone in respect to demographic features, type of presentation, predisposing risk factors, laboratory features, complications, and outcome. MATERIALS AND METHODS Overall, 124 children with sonographically diagnosed gallstone were stratified into group 1 (symptomatic) and group 2 (asymptomatic). The data on demographic features, predisposing risk f...

Gallstone ileus, a rare complication of cholelithiasis, is caused by an impaction gallstones within the gastrointestinal tract leading to mechanical intestinal obstruction. Here in, we describe case gallstone ileus in 62-year-old woman successfully treated with enterolithotomy. The patient was discharged home after uneventful post-operative period. uncommon and cause obstruction, often delayed ...

Gallstone ileus is an unusual cause of colonic obstruction. The formation of a fistula between the gall bladder and the bowel wall may allow a gallstone to enter the intestinal tract. Plain abdominal films, abdominal ultrasound and abdominal computed tomography aid in the diagnosis. Although surgery is the treatment of choice in cases of colonic gallstone ileus, colonoscopic removal of the impa...