Document Detail


Composition of gallstones in Coimbatore District of Tamil Nadu State.
MedLine Citation:
PMID:  9795499     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Gallstones in northern India are predominantly of the cholesterol type; such information on gallstones in southern India is scant. AIM: To analyze the composition of gallstones from patients residing in Coimbatore District in Tamil Nadu State. METHODS: The stones were classified using the Bernhoft criteria and was correlated with the morphological characteristics. RESULTS: Of the 105 gallstones analyzed, 67 (63.8%) were of the pigment variety and 36 (34.8%) of the intermediate/mixed type. There were only two cholesterol stones. The mean proportions of cholesterol, bilirubin and calcium in the pigment and intermediate stones were 7.1%, 26.1% and 7.8% and 30.2%, 18.4% and 6.3%, respectively. The mean proportion of bilirubin in the pigment stones was higher than in the intermediate type. Morphologically, pigment stones were black in 55% and amorphous in 63%; the intermediate stones were hard in 50% and of variegated color ranging from yellow to ivory white in 61%; both cholesterol stones were multiple, hard and brown. CONCLUSIONS: There is a predominance of pigment and intermediate gallstones (98%) in this district. These stones have reduced cholesterol and an increase in bilirubin and calcium proportions.
Authors:
V Jayanthi; C Palanivelu; R Prasanthi; S Mathew; V Srinivasan
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology     Volume:  17     ISSN:  0254-8860     ISO Abbreviation:  Indian J Gastroenterol     Publication Date:    1998 Oct-Dec
Date Detail:
Created Date:  1998-11-18     Completed Date:  1998-11-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8409436     Medline TA:  Indian J Gastroenterol     Country:  INDIA    
Other Details:
Languages:  eng     Pagination:  134-5     Citation Subset:  IM    
Affiliation:
Department of Digestive Health and Disease, Government Peripheral Hospital, Klipauk Medical College and Hospital, Coimbatore.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cholelithiasis / chemistry*
Female
Humans
India
Male
Middle Aged

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