Editors ’ introduction
The following report by Zhu et al introduces to our Western mindset the Chinese cultural desire for gallbladder preservation (via cholecystolithotomy for symptoms). Although not our approach in the West (and perhaps not the most appropriate overall treatment for symptomatic cholelithiasis, as our past experience with gallstone lithotripsy has shown), we need to remain cognizant and respectful of diverse cultural beliefs when we interact with patients from various cultures. After the following submission from China, you will find an account of one of the editor’s naïve, ignorant, and totally enlightening experiences wit h a patient of the Hmong culture.
ConclusionsCharacterization of GS indicates that different types of stones have different characteristics in terms of microstructure, elemental composition, and distribution. Serum hepatic function test profiles showed an association with the compositions of GS.
Condition: Sphincter of Oddi Function Intervention: Procedure: Endoclip papillaplasty Sponsor: Peking University Third Hospital Recruiting
Exp Clin Endocrinol Diabetes DOI: 10.1055/a-1033-7273Cholesterol gallstone disease (CGD) affects 10–15% of the adult population worldwide and the prevalence increases as a result of longer life expectancy as well as rising obesity in the general population. Beside well established CGD risk factors including environmental and genetic determinants (LITH genes), a correlation between thyroid dysfunction and CGD has been suggested in several human and murine studies. Although the precise underlying mechanisms are poorly understood, thyroid hormones may impact bile flow, bile compositio...
Conclusions: Study with 92% of follow-up late after SG demonstrated a 43% development of gallstones: half earlier and half late after surgery. We emphasize the need for late control to detect the real appearance of gallstones after SG.
DR ELLIE CANNON: Frustratingly, gallstones are associated with being overweight, so many sufferers may already be in the process of attempting to lose a few pounds.
Gallstone disease is the term commonly used to refer to gallstones that cause symptoms. There is a myriad of complications that can arise from gallstones: acute cholecystitis, xanthogranulomatous cholecystitis, emphysematous cholecystitis, gallbladder wall perforations, pericholecystic abscesses, Mirizzi syndrome, cholecystoenteric fistulas, choledocholithiasis, gallstone pancreatitis, porcelain gallbladder, gallbladder malignancies, and many more. The aim of this pictorial review is to revisit how multimodality imaging can help with the diagnosis of gallstone disease.
Conclusion. Our results suggest that Senhance-assisted cholecystectomy is safe, feasible, and effective, but currently has longer operative times. Further prospective and randomized trials are required to determine whether this approach can offer any other benefits over other minimally invasive surgical techniques. PMID: 31771424 [PubMed - as supplied by publisher]
Authors: Sticova E, Jirsa M Abstract ATP-binding cassette (ABC) subfamily B member 4 (ABCB4), also known as multidrug resistance protein 3 (MDR3), encoded by ABCB4, is involved in biliary phospholipid secretion, protecting hepatobiliary system from deleterious detergent and lithogenic properties of the bile. ABCB4 mutations altering canalicular ABCB4 protein function and expression may have variable clinical presentation and predispose to several human liver diseases. Well-established phenotypes of ABCB4 deficit are: progressive familial intrahepatic cholestasis type 3, gallbladder disease 1 (syn. low phospholipid ...