The natural course of gallstone disease

Wenckert, A; Robertson, Bertil

doi:10.1016/s0016-5085(66)80078-1

Cited by 214 publications

(24 citation statements)

References 6 publications

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“…For instance, the great majority of these gall stones were asymptomatic, and in addition they were usually present in gall bladders which retained their concentrating function, as judged radiologically. Gall bladders containing stones usually retain this function in only 35 to 48% of cases (Gordon, 1953;Rominger and Lockwood, 1963;Wenckert and Robertson, 1966).…”

Section: Discussionmentioning

confidence: 99%

Gall Stones in Patients with Disorders of the Terminal Ileum and Disturbed Bile Salt Metabolism

Heaton¹,

Read²

1969

BMJ

192

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Summary: In a combined historical and radiological survey gall stones were found in 23 out of 72 patients with disorders of the terminal ileum (31-9%). This is four to five times the expected incidence of cholelithiasis. In these patients the incidence of gall stones was not related to age, but did, however, increase with increased duration of the ileal disorder. Glycine/taurine conjugation ratios of bile salts in the bile were abnormally high in 10 out of 11 patients with ileal disorders. Both imipaired bile salt recirculation and absorption of poorly soluble bacterially degraded bile salts are possible causes of cholelithiasis in these patients.

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Section: Discussionmentioning

confidence: 99%

Gall Stones in Patients with Disorders of the Terminal Ileum and Disturbed Bile Salt Metabolism

Heaton¹,

Read²

1969

BMJ

192

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“…Terada and Suma 6 reported a combined surgical procedure involving CABG and cholecystectomy, which was done even if the gallstones were asymptomatic, because it is reported that about 15%-50% of silent gallstones become symptomatic within 5 years. 7,8 Moreover, the RGEA pedicle may also cause problems during future cholecystectomies. Therefore, we agree that a combined CABG and cholecystectomy should be performed in such cases.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Cholecystectomy After Coronary Artery Bypass Grafting Using the Right Gastroepiploic Artery: Report of a Case

et al. 2002

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A laparoscopic cholecystectomy (LC) was successfully performed on a 61-year-old man who had undergone coronary artery bypass grafting (CABG) using the right gastroepiploic artery (RGEA). He complained of right hypochondralgia 20 days after CABG. Gallstones were diagnosed and a cholecystectomy was performed 9 months after CABG. Under general anesthesia, the operation was performed using a pneumoperitonium. When a laparoscope was inserted, the RGEA pedicle could be clearly recognized. The pedicle obstructed the operating field and made the working space narrower than usual. No ST changes on the electrocardiogram were seen during LC, especially during the initiation of pneumoperitonium, the insertion of the ports, or when retracting the gallbladder. The postoperative course was uneventful. To avoid complications, care should be taken not to stretch the RGEA pedicle during LC, and careful monitoring of the electrocardiogram is also necessary. It is difficult to view the operating field and the RGEA pedicle together. It is therefore better to insert another laparoscope for concomitant monitoring of the RGEA pedicle.

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“…16 Contraction' of the gall bladder'will place the common bile duct stone in "gall bladder bile" rather than "liver bile." As the gall bladder contracts and evacuates bile so this concentrated bile will remain in the common bile duct on completion of the contraction and the gall bladder will then preferentially refill with bile passing down the common hepatic duct.…”

Section: Discussionmentioning

confidence: 99%