| Complications of gallstones: the Mirizzi syndrome, gallstone ileus, gallstone pancreatitis, complications of "lost" gallstones. | |
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MedLine Citation:
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PMID: 18992599 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Gallstones cause various problems besides simple biliary colic and choplecystitis. With chronicity of inflammation caused by gallstone obstruction of the cystic duct, the gallbladder may fuse to the extrahepatic biliary tree, causing Mirizzi syndrome, or fistulize into the intestinal tract, causing so-called gallstone ileus. Stones may pass out of the gallbladder and travel downstream through the common bile duct to obstruct the ampulla of Vater resulting in gallstone pancreatitis, or pass out of the gallbladder inadvertently during surgery, resulting in the syndromes associated with lost gallstones. This article examines these varied and complex complications, with recommendations for management based on the literature, the data, and perhaps some common sense. |
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Authors:
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Jill Zaliekas; J Lawrence Munson |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The Surgical clinics of North America Volume: 88 ISSN: 0039-6109 ISO Abbreviation: Surg. Clin. North Am. Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-11-10 Completed Date: 2009-03-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0074243 Medline TA: Surg Clin North Am Country: United States |
Other Details:
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Languages: eng Pagination: 1345-68, x Citation Subset: AIM; IM |
Affiliation:
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Department of General Surgery, Lahey Clinic Medical Center, Tufts University Medical School, 41 Mall Road, Burlington, MA 01805, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cholangiopancreatography, Endoscopic Retrograde
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methods Diagnosis, Differential Digestive System Surgical Procedures / methods Gallstones / complications* Humans Ileus / diagnosis, etiology*, surgery Jaundice, Obstructive / diagnosis, etiology*, surgery Pancreatitis / diagnosis, etiology*, surgery Syndrome Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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