By Giuseppe (EDT)/ Cordiano, Claudio (EDT) Borzellino
The booklet provides an review on biliary lithiasis and all its scientific photographs, 20 years after the 1st laparoscopic cholecystectomy. The gallbladder, the most bile duct and intra-hepatic stones, of their easy and complex forms are illustrated. Chapters are serious about easy technology, epidemiology, diagnostic and healing approaches to biliary lithiasis. the various diagnostic techniques defined comprise invasive and noninvasive imaging, and therapies think about scientific remedy, open and minimally invasive surgical procedure, endoscopic and percutaneous methods, either individually and as mixed procedures. The book's content material is not constrained to the most typically used therapeutic methods said within the literature, but also addresses new and cutting edge healing suggestions for biliary lithiasis. due to its entire technique, this quantity should be of curiosity not just for GPs amd experts during this box, but additionally to citizens and different health practitioner of other disciplines.
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Extra resources for Biliary Lithiasis: Basic Science, Current Diagnosis and Management
Obes Surg 16:592-596 36. Kobayashi T, Hisanaga M, Kanehiro H et al (2005) Analysis of risk factors for the development of gallstones after gastrectomy. Br J Surg 92:1399-1403 37. Kaechele V, Wabitsch M, Thiere D et al (2006) Prevalence of gallbladder stone disease in obese children and adolescents: influence of the degree of obesity, sex, and pubertal development. J Pediatr Gastroenterol Nutr 42:66-70 38. Mendez-Sanchez N, Chavez-Tapia NC, Motola-Kuba D et al (2005) Metabolic syndrome as a risk factor for gallstone disease.
The saturation index is the ratio of the actual amount of cholesterol present in a bile sample to the maximal amount of cholesterol that can be dissolved in it. Bile that has a saturation index of 1 is “saturated”; when the saturation index is less than 1 the bile is “unsaturated”; and when it is greater than 1 the bile is “supersaturated”. The degree of saturation can also be expressed as a percentage of saturation by multiplying the saturation index by 100. For example, on the boundary of the micellar zone, bile is saturated and the CSI is 100%.
48. 49. 50. 51. gallstones and cardiovascular disease. Am J Gastroenterol 100:827-830 Storti KL, Brach JS, FitzGerald SJ et al (2005) Physical activity and decreased risk of clinical gallstone disease among post-menopausal women. Prev Med 41:772-777 Leitzmann MF, Willett WC, Rimm EB et al (1999) A prospective study of coffee consumption and the risk of symptomatic gallstone disease in men. JAMA 281:2106-2112 Acalovschi M, Blendea D, Feier C et al (2003) Risk factors for symptomatic gallstones in patients with liver cirrhosis: a case-control study.