Is biliary lithogenesis affected by length and implantation of cystic duct : Study of 270 patients with endoscopic retrograde cholangiopancreatography
The gallbladder seems to play an important role in lithogenesis. Moreover, the morphology and the implantation of the cystic duct may also influence this process. Our purpose was to evaluate if the length and the implantation of the cystic duct may affect the formation of gallstones. Between April 1...
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| Veröffentlicht in: | Digestive diseases and sciences 1997-10, Vol.42 (10), p.2045-2051 |
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| creator | CAROLI-BOSC, F.-X DEMARQUAY, J.-F CONIO, M DEVEAU, C HASTIER, P HARRIS, A DUMAS, R DELMONT, J.-P |
| description | The gallbladder seems to play an important role in lithogenesis. Moreover, the morphology and the implantation of the cystic duct may also influence this process. Our purpose was to evaluate if the length and the implantation of the cystic duct may affect the formation of gallstones. Between April 1992 and March 1994, 270 patients who underwent endoscopic retrograde cholangiopancreatography were included in the study, and the radiological length of the cystic duct was carefully recorded. Patients were divided into two groups: I, absence of lithiasis: 113 patients (65 men, 48 women); and II, gallbladder lithiasis or lithiasis in the common bile duct with or without gallbladder lithiasis: 157 patients (73 men, 84 women). A statistically significant difference was observed among the two groups regarding the insertion of the cystic duct: implantation on the left side of the common bile duct represented a risk factor of lithiasis. The length of the cystic duct was not directly implicated. Hypokinesis of the gallbladder is currently recognized as being a major factor in the initial steps of lithogenesis, but the implantation of the cystic duct can play an important role by increasing cystic duct resistance and causing a reduced washout effect of the gallbladder contents, including cholesterol crystals. |
| doi_str_mv | 10.1023/A:1018810315994 |
| format | Article |
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Moreover, the morphology and the implantation of the cystic duct may also influence this process. Our purpose was to evaluate if the length and the implantation of the cystic duct may affect the formation of gallstones. Between April 1992 and March 1994, 270 patients who underwent endoscopic retrograde cholangiopancreatography were included in the study, and the radiological length of the cystic duct was carefully recorded. Patients were divided into two groups: I, absence of lithiasis: 113 patients (65 men, 48 women); and II, gallbladder lithiasis or lithiasis in the common bile duct with or without gallbladder lithiasis: 157 patients (73 men, 84 women). A statistically significant difference was observed among the two groups regarding the insertion of the cystic duct: implantation on the left side of the common bile duct represented a risk factor of lithiasis. The length of the cystic duct was not directly implicated. Hypokinesis of the gallbladder is currently recognized as being a major factor in the initial steps of lithogenesis, but the implantation of the cystic duct can play an important role by increasing cystic duct resistance and causing a reduced washout effect of the gallbladder contents, including cholesterol crystals.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1023/A:1018810315994</identifier><identifier>PMID: 9365133</identifier><identifier>CODEN: DDSCDJ</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adult ; Age Factors ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cholangiopancreatography, Endoscopic Retrograde ; Cholelithiasis - diagnostic imaging ; Cholelithiasis - etiology ; Cholelithiasis - pathology ; Cystic Duct - diagnostic imaging ; Cystic Duct - pathology ; Female ; Gallstones - diagnostic imaging ; Gallstones - etiology ; Gallstones - pathology ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical sciences ; Middle Aged ; Other diseases. Semiology</subject><ispartof>Digestive diseases and sciences, 1997-10, Vol.42 (10), p.2045-2051</ispartof><rights>1998 INIST-CNRS</rights><rights>Copyright Kluwer Academic Publishers Oct 1, 1997</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c308t-ddba6303f2aadbf0f9d98ee3973f1511375386beac992847f091825d58f8ff4c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2055996$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9365133$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CAROLI-BOSC, F.-X</creatorcontrib><creatorcontrib>DEMARQUAY, J.-F</creatorcontrib><creatorcontrib>CONIO, M</creatorcontrib><creatorcontrib>DEVEAU, C</creatorcontrib><creatorcontrib>HASTIER, P</creatorcontrib><creatorcontrib>HARRIS, A</creatorcontrib><creatorcontrib>DUMAS, R</creatorcontrib><creatorcontrib>DELMONT, J.-P</creatorcontrib><title>Is biliary lithogenesis affected by length and implantation of cystic duct : Study of 270 patients with endoscopic retrograde cholangiopancreatography</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><description>The gallbladder seems to play an important role in lithogenesis. Moreover, the morphology and the implantation of the cystic duct may also influence this process. Our purpose was to evaluate if the length and the implantation of the cystic duct may affect the formation of gallstones. Between April 1992 and March 1994, 270 patients who underwent endoscopic retrograde cholangiopancreatography were included in the study, and the radiological length of the cystic duct was carefully recorded. Patients were divided into two groups: I, absence of lithiasis: 113 patients (65 men, 48 women); and II, gallbladder lithiasis or lithiasis in the common bile duct with or without gallbladder lithiasis: 157 patients (73 men, 84 women). A statistically significant difference was observed among the two groups regarding the insertion of the cystic duct: implantation on the left side of the common bile duct represented a risk factor of lithiasis. The length of the cystic duct was not directly implicated. 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Abdomen</subject><subject>Humans</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Other diseases. 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Semiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CAROLI-BOSC, F.-X</creatorcontrib><creatorcontrib>DEMARQUAY, J.-F</creatorcontrib><creatorcontrib>CONIO, M</creatorcontrib><creatorcontrib>DEVEAU, C</creatorcontrib><creatorcontrib>HASTIER, P</creatorcontrib><creatorcontrib>HARRIS, A</creatorcontrib><creatorcontrib>DUMAS, R</creatorcontrib><creatorcontrib>DELMONT, J.-P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive diseases and sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CAROLI-BOSC, F.-X</au><au>DEMARQUAY, J.-F</au><au>CONIO, M</au><au>DEVEAU, C</au><au>HASTIER, P</au><au>HARRIS, A</au><au>DUMAS, R</au><au>DELMONT, J.-P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is biliary lithogenesis affected by length and implantation of cystic duct : Study of 270 patients with endoscopic retrograde cholangiopancreatography</atitle><jtitle>Digestive diseases and sciences</jtitle><addtitle>Dig Dis Sci</addtitle><date>1997-10-01</date><risdate>1997</risdate><volume>42</volume><issue>10</issue><spage>2045</spage><epage>2051</epage><pages>2045-2051</pages><issn>0163-2116</issn><eissn>1573-2568</eissn><coden>DDSCDJ</coden><abstract>The gallbladder seems to play an important role in lithogenesis. Moreover, the morphology and the implantation of the cystic duct may also influence this process. Our purpose was to evaluate if the length and the implantation of the cystic duct may affect the formation of gallstones. Between April 1992 and March 1994, 270 patients who underwent endoscopic retrograde cholangiopancreatography were included in the study, and the radiological length of the cystic duct was carefully recorded. Patients were divided into two groups: I, absence of lithiasis: 113 patients (65 men, 48 women); and II, gallbladder lithiasis or lithiasis in the common bile duct with or without gallbladder lithiasis: 157 patients (73 men, 84 women). A statistically significant difference was observed among the two groups regarding the insertion of the cystic duct: implantation on the left side of the common bile duct represented a risk factor of lithiasis. The length of the cystic duct was not directly implicated. Hypokinesis of the gallbladder is currently recognized as being a major factor in the initial steps of lithogenesis, but the implantation of the cystic duct can play an important role by increasing cystic duct resistance and causing a reduced washout effect of the gallbladder contents, including cholesterol crystals.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>9365133</pmid><doi>10.1023/A:1018810315994</doi><tpages>7</tpages></addata></record> |
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| ispartof | Digestive diseases and sciences, 1997-10, Vol.42 (10), p.2045-2051 |
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| subjects | Adult Age Factors Aged Aged, 80 and over Biological and medical sciences Cholangiopancreatography, Endoscopic Retrograde Cholelithiasis - diagnostic imaging Cholelithiasis - etiology Cholelithiasis - pathology Cystic Duct - diagnostic imaging Cystic Duct - pathology Female Gallstones - diagnostic imaging Gallstones - etiology Gallstones - pathology Gastroenterology. Liver. Pancreas. Abdomen Humans Liver. Biliary tract. Portal circulation. Exocrine pancreas Male Medical sciences Middle Aged Other diseases. Semiology |
| title | Is biliary lithogenesis affected by length and implantation of cystic duct : Study of 270 patients with endoscopic retrograde cholangiopancreatography |
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