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Does bilioenteric anastomosis impair results of liver resection in primary intrahepatic lithiasis?

World Journal of Gastroenterology 2010年第27期16卷 3423-3426页

作者： Paulo Herman Marcos V Perini Vincenzo Pugliese Julio Cesar Pereira Marcel Autran C Machado William A Saad Luiz AC D'Albuquerque Ivan Cecconello Department of Gastroenterology Hospital Das Clínicas-University of So Paulo Medical SchoolSo Paulo-SP-CEP 05403-000BrazilPaulo HermanPraa Santos Coimbra10So Paulo-SP-CEP 05614-050Brazil

AIM:To evaluate the long-term results of liver resection for the treatment of primary intrahepatic *** factors,especially the impact of bilioenteric anastomosis on recurrence of symptoms were ***:Forty one patients with intrahepatic stones and parenchyma fibrosis/atrophy and/or biliary stenosis were submitted to liver *** was associated with a Roux-en-Y hepaticojejunostomy in all patients with bilateral stones and in those with unilateral disease and dilation of the extrahepatic biliary duct(>2 cm).Late results and risk factors for recurrence of symptoms or stones were ***:There was no operative *** a mean follow-up of 50.3 mo,good late results were observed in 82.9% of patients;all patients submitted to liver resection alone and 58.8% of those submitted to liver resection and hepaticojejunostomy were free of symptoms(P=0.0006).Patients with unilateral and bilateral disease showed good late results in 94.1% and 28.6%,respectively(P<0.001).CONCLUSION:Recurrence of symptoms in patients with hepaticojejunostomy showed that this may not be the ideal *** studies are needed to establish the best treatment for patients with bilateral stones or unilateral disease and a dilated extrahepatic duct.

关键词： biliary lithiasis Bilioenteric anastomosis Cholangitis Intrahepatic lithiasis Liver resection

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Triglyceride levels and apolipoprotein E polymorphism in patients with acute pancreatitis

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Hepatobiliary & Pancreatic Diseases International 2012年第1期11卷 96-101页

作者： Radka Ivanova Susana Puerta Alfonso Garrido Ignacio Cueto Ana Ferro María José Ariza Andrés Cobos Pedro González-Santos Pedro Valdivielso Division of Internal Medicine Hospital Universitario "Virgen de la Victoria" Division of Gastroenterology Hospital Universitario "Virgen de la Victoria" CIMES Department of Medicine & Dermatology University of Malaga Division of Laboratory Hospital Universitario "Virgen de la Victoria"

BACKGROUND:Hypertriglyceridemia is an unusual cause of acute pancreatitis and sometimes considered to be an *** study aimed to investigate the clinical and analytical features and the APOE genotypes in patients with acute pancreatitis and severe ***:We undertook a one-year,prospective study of patients with acute pancreatitis whose first laboratory analysis on admission to the emergency department included measurement of serum *** APOE genotype was determined and the patients answered an established questionnaire within the first 24 hours concerning their alcohol consumption,the presence of co-morbidities and any medications being *** patients’ progression,etiological diagnosis,hospital stay and clinical and radiological severity were all ***:Hypertriglyceridemia was responsible for 7 of 133 cases of pancreatitis (5%);the remaining cases were of biliary (53%),idiopathic (26%),alcoholic (11%) or other (5%) *** with these remaining cases,the patients with hypertriglyceridemia were significantly younger,had more relapses,and more often had diabetes *** usually consumed alcohol or consumed it excessively on the days before ***,the ε4 allele of the APOE gene was more common in this group (P<0.05).CONCLUSION:One of 20 episodes of acute pancreatitis is caused by hypertriglyceridemia and it is linked to genetic (ε4 allele) and comorbid factors such as diabetes and,especially,alcohol consumption.

关键词： acute pancreatitis hypertriglyceridemia apolipoprotein E alcohol biliary lithiasis

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Staged Surgery for Bronchobiliary Fistula and Incidental Finding of Mitral Valve Disease

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World Journal of Cardiovascular Surgery 2016年第9期6卷 105-111页

作者： Hazem Aljasem Nizar Abbas Younes Suliman Ali Khaddam Ahmad Al Khaddour Damascus University Hospital Damascus Syria

Bronchobiliary fistula (BBF) is defined as abnormal passage between bronchial system and the bile tree which often manifests as presence of bile in the sputum (biloptysis). BBF is a serious complication which requires early diagnosis and well-planned management strategy to avoid the high morbidity and mortality rate. The hydatid cystic disease is still the leading cause of the BBF. In this paper we present a case of 32-year-old man with BBF who was incidentally found to have a mitral valve disease for which he underwent mitral valve replacement during his management course.

关键词： Biloptysis Mitral Valve Replacement Hydatid Disease biliary lithiasis Cholecystitis Endoscopic Retrograde Cholangiopancreatography (ERCP) Computed Tomography (CT) Magnetic Resonance Cholangiography (MRC) Scintigraphy

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