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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 517 - 527 (11page)
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초록· 키워드
오류제보하기
Acute cholecystitis and several gallbladder stone-related conditions, such as impacted common bile duct stones, cholangitis, and biliary pancreatitis, are common medical conditions in daily practice. An early cholecystectomy or drainage procedure with delayed cholecystectomy is the current standard of treatment based on published clinical guidelines. Cirrhosis is not only a condition of chronically impaired hepatic function but also has systemic effects in patients. In cirrhotic individuals, several predisposing factors, including changes in the bile acid composition, increased nucleation of bile, and decreased motility of the gallbladder, contribute to the formation of biliary stones and the possibility of symptomatic cholelithiasis, which is an indication for surgical treatment. In addition to these predisposing factors for cholelithiasis, systemic effects and local anatomic consequences related to cirrhosis lead to anesthesiologic risks and perioperative complications in cirrhotic patients. Therefore, the treatment of the aforementioned biliary conditions in cirrhotic patients has become a challenging issue. In this review, we focus on cholecystectomy for cirrhotic patients and summarize the surgical indications, risk stratification, surgical procedures, and surgical outcomes specific to cirrhotic patients with symptomatic cholelithiasis.
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참고문헌 (82)
참고문헌 신청
Benvegnù L / 1997 / Prevalence and incidence of cholecystolithiasis in cirrhosis and relation to the etiology of liver disease / Digestion 58:293~298
Hung YL / 2020 / Natural course of acute cholecystitis in patients treated with percutaneous transhepatic gallbladder drainage without elective cholecystectomy / J Gastrointest Surg 24:772~779
Lammert F / 2016 / Gallstones / Nat Rev Dis Primers 2:16024
Acalovschi M / 2003 / Risk factors for symptomatic gallstones in patients with liver cirrhosis : a case-control study / Am J Gastroenterol 98:1856~1860
Sheen IS / 1989 / The prevalence and incidence of cholecystolithiasis in patients with chronic liver diseases : a prospective study / Hepatology 9:538~540
Hung YL / 2020 / Natural course of acute cholecystitis in patients treated with percutaneous transhepatic gallbladder drainage without elective cholecystectomy / J Gastrointest Surg 24:772~779
Lammert F / 2016 / Gallstones / Nat Rev Dis Primers 2:16024
Acalovschi M / 2003 / Risk factors for symptomatic gallstones in patients with liver cirrhosis : a case-control study / Am J Gastroenterol 98:1856~1860
Sheen IS / 1989 / The prevalence and incidence of cholecystolithiasis in patients with chronic liver diseases : a prospective study / Hepatology 9:538~540
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