Biliary Pigment and Cholesterol Calculi in Patients with and Without Juxtapapillary Duodenal Diverticula
The occurrence of pigment and cholesterol calculi was studied in 45 patients with concrements in the gallbladder but no calculi in the common or intrahepatic bile ducts. Twenty-one of the patients had juxtapapillary duodenal diverticula diagnosed by duodenoscopy. Twenty-four patients had no divertic...
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| Veröffentlicht in: | Scandinavian journal of gastroenterology 1981-01, Vol.16 (2), p.241-244 |
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| creator | Løtveit, T. Foss, O. P. Osnes, M. |
| description | The occurrence of pigment and cholesterol calculi was studied in 45 patients with concrements in the gallbladder but no calculi in the common or intrahepatic bile ducts. Twenty-one of the patients had juxtapapillary duodenal diverticula diagnosed by duodenoscopy. Twenty-four patients had no diverticula. The classification of the calculi as pigment stones or cholesterol stones was based on quantitative determination of the cholesterol contents. Calculi with a cholesterol content of less than 25% were classified as pigment stones; calculi with a cholesterol content of more than 25% were classified as cholesterol stones. All pigment stones had a cholesterol content of less than 20%. With the exception of four patients the cholesterol content was over 70% in all cholesterol stones. Twelve of the 21 patients with diverticula had pigment stones, whereas only 1 of the 24 patients without diverticula had pigment calculi, a difference that was statistically significant (p < 0.01). |
| doi_str_mv | 10.3109/00365528109181962 |
| format | Article |
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P.</creatorcontrib><creatorcontrib>Osnes, M.</creatorcontrib><title>Biliary Pigment and Cholesterol Calculi in Patients with and Without Juxtapapillary Duodenal Diverticula</title><title>Scandinavian journal of gastroenterology</title><addtitle>Scand J Gastroenterol</addtitle><description>The occurrence of pigment and cholesterol calculi was studied in 45 patients with concrements in the gallbladder but no calculi in the common or intrahepatic bile ducts. Twenty-one of the patients had juxtapapillary duodenal diverticula diagnosed by duodenoscopy. Twenty-four patients had no diverticula. The classification of the calculi as pigment stones or cholesterol stones was based on quantitative determination of the cholesterol contents. Calculi with a cholesterol content of less than 25% were classified as pigment stones; calculi with a cholesterol content of more than 25% were classified as cholesterol stones. All pigment stones had a cholesterol content of less than 20%. With the exception of four patients the cholesterol content was over 70% in all cholesterol stones. Twelve of the 21 patients with diverticula had pigment stones, whereas only 1 of the 24 patients without diverticula had pigment calculi, a difference that was statistically significant (p < 0.01).</description><subject>Adult</subject><subject>Aged</subject><subject>Aging</subject><subject>Bile</subject><subject>bile ducts</subject><subject>bile pigments</subject><subject>Bile Pigments - metabolism</subject><subject>cholelithiasis</subject><subject>Cholelithiasis - etiology</subject><subject>Cholelithiasis - metabolism</subject><subject>Cholesterol - metabolism</subject><subject>Diverticulum - complications</subject><subject>Diverticulum - metabolism</subject><subject>Duodenal Diseases - complications</subject><subject>Duodenal Diseases - metabolism</subject><subject>endoscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><issn>0036-5521</issn><issn>1502-7708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1981</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFP3DAUhK2KCra0P4ADkk_cUuzYXseCCyxtoUIqh1YcoxfHIUZOvNhOF_59vewKCSF68pNm5tN4EDqg5CujRB0TwuZClFW-aUXVvPyAZlSQspCSVDtottaLbKB76FOM94QQIbnaRbtzqSThfIb6c-sshCd8Y-8GMyYMY4sXvXcmJhO8wwtwenIW2xHfQLLZEvHKpv7ZeJsPPyX8c3pMsISldW7Nuph8a0Zw-ML-NSHZDIDP6GMHLpov23cf_fn-7ffisrj-9eNqcXZdaE5oKnQpgCqouGJKSckZlw1VrBENq0QDnJe6FW3TGCG7BginQKBqVTsvdQ4AYfvoaMNdBv8w5V_Ug43a5GKj8VOsJatYWUqZjXRj1MHHGExXL4Mdcv2aknq9bv1m3Zw53MKnZjDtS2I7Z9ZPN7odOx8GWPng2jrBk_OhCzBqG9fo9_Enr-K9AZd6DcHU934KedH4n3L_AO06myI</recordid><startdate>19810101</startdate><enddate>19810101</enddate><creator>Løtveit, T.</creator><creator>Foss, O. 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P. ; Osnes, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c401t-c25a19a849399774347b193b5b385ba442cd5dbbe57fba041a0a8d9d62c399a03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1981</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aging</topic><topic>Bile</topic><topic>bile ducts</topic><topic>bile pigments</topic><topic>Bile Pigments - metabolism</topic><topic>cholelithiasis</topic><topic>Cholelithiasis - etiology</topic><topic>Cholelithiasis - metabolism</topic><topic>Cholesterol - metabolism</topic><topic>Diverticulum - complications</topic><topic>Diverticulum - metabolism</topic><topic>Duodenal Diseases - complications</topic><topic>Duodenal Diseases - metabolism</topic><topic>endoscopy</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Løtveit, T.</creatorcontrib><creatorcontrib>Foss, O. P.</creatorcontrib><creatorcontrib>Osnes, M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Løtveit, T.</au><au>Foss, O. P.</au><au>Osnes, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Biliary Pigment and Cholesterol Calculi in Patients with and Without Juxtapapillary Duodenal Diverticula</atitle><jtitle>Scandinavian journal of gastroenterology</jtitle><addtitle>Scand J Gastroenterol</addtitle><date>1981-01-01</date><risdate>1981</risdate><volume>16</volume><issue>2</issue><spage>241</spage><epage>244</epage><pages>241-244</pages><issn>0036-5521</issn><eissn>1502-7708</eissn><abstract>The occurrence of pigment and cholesterol calculi was studied in 45 patients with concrements in the gallbladder but no calculi in the common or intrahepatic bile ducts. Twenty-one of the patients had juxtapapillary duodenal diverticula diagnosed by duodenoscopy. Twenty-four patients had no diverticula. The classification of the calculi as pigment stones or cholesterol stones was based on quantitative determination of the cholesterol contents. Calculi with a cholesterol content of less than 25% were classified as pigment stones; calculi with a cholesterol content of more than 25% were classified as cholesterol stones. All pigment stones had a cholesterol content of less than 20%. With the exception of four patients the cholesterol content was over 70% in all cholesterol stones. Twelve of the 21 patients with diverticula had pigment stones, whereas only 1 of the 24 patients without diverticula had pigment calculi, a difference that was statistically significant (p < 0.01).</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>6797044</pmid><doi>10.3109/00365528109181962</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0036-5521 |
| ispartof | Scandinavian journal of gastroenterology, 1981-01, Vol.16 (2), p.241-244 |
| issn | 0036-5521 1502-7708 |
| language | eng |
| recordid | cdi_crossref_primary_10_3109_00365528109181962 |
| source | MEDLINE; Taylor & Francis Medical Library - CRKN; Access via Taylor & Francis |
| subjects | Adult Aged Aging Bile bile ducts bile pigments Bile Pigments - metabolism cholelithiasis Cholelithiasis - etiology Cholelithiasis - metabolism Cholesterol - metabolism Diverticulum - complications Diverticulum - metabolism Duodenal Diseases - complications Duodenal Diseases - metabolism endoscopy Female Humans Male Middle Aged |
| title | Biliary Pigment and Cholesterol Calculi in Patients with and Without Juxtapapillary Duodenal Diverticula |
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