Abstract
Microlithiasis has been suspected to cause acute pancreatitis and biliary pain. We studied the frequency of microlithiasis and response to treatment in recurrent idiopathic acute pancreatitis (RIAP) and unexplained biliary pain. Gallbladder bile was examined microscopically for cholesterol monohydrate crystals (CMC) and calcium bilirubinate granules (CBG) in patients with RAIP (n = 24; mean age 36 years, range 18-56 years; 14 men), unexplained biliary pain (n = 12; mean age 32 years, range 22-55 years; six men), gallstones (n = 22; mean age 40 years, range 30-58 years; 12 men) and patients without clinical or imaging evidence of gallstone disease (n = 12; mean age 32 years, range 14-54 years; six men). The presence of a single CMC or >25 CBG/slide was considered abnormal. Bile microscopy was abnormal in 75% patients with RAIP (18/24; CMC in 10, CBG in six, CMC and CBG in two), 83.3% patients with unexplained biliary pain (10/12; CMC in seven, CBG in one, CMC and CBG in two) and 95.4% patients with gallstones (21/22; CMC in 12, CBG in one, CMC and CBG in eight). None of the controls without gallstone disease had CMC while three patients had low counts of CBG. Twenty-eight patients with RAIP and biliary pain having microlithiasis...Continue Reading
References
Dec 1, 1977·American Journal of Surgery·G PorterfieldM Berenson
Aug 1, 1977·The American Journal of Digestive Diseases·D C Foss, R R Laing
Feb 27, 1992·The New England Journal of Medicine·S P LeeH Z Park
Dec 1, 1991·Gastroenterology·E RosR Valderrama
Dec 1, 1990·Gut·P JanowitzH Ditschuneit
Jan 1, 1989·Digestive Diseases and Sciences·R P VenuK Soergel
Oct 1, 1988·Scandinavian Journal of Gastroenterology·K J van ErpecumW H Govaert
May 1, 1988·Mayo Clinic Proceedings·J A MoreauE P DiMagno
May 1, 1988·The British Journal of Surgery·J P NeoptolemosD Vallance
Nov 1, 1987·American Journal of Surgery·M TanakaS Matsumoto
Nov 1, 1986·Digestive Diseases and Sciences·K ShiratoriT Takeuchi
Jan 1, 1986·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·J C DelchierD Dhumeaux
Nov 1, 1973·The American Journal of Digestive Diseases·D S HorsburghH J Tumen
Sep 1, 1967·The American Journal of Digestive Diseases·M A Block, R J Priest
Sep 1, 1983·Gut·S H GollishS M Strasberg
Dec 1, 1982·Annals of Surgery·M J BurnsteinS M Strasberg
Jun 5, 1980·The New England Journal of Medicine·D M Small
Jul 1, 1995·Gut·C R WelbournI A Eyre-Brook
Sep 1, 1994·Gastrointestinal Endoscopy·J H SiegelF E Kasmin
Aug 1, 1995·Endoscopy·J E DillS T Palmer
Feb 1, 1996·Gut·P DahanP Bernades
Jul 3, 1998·Gastroenterology·B C SharmaV A Saraswat
Jan 8, 2000·Gastrointestinal Endoscopy·C L LiuS T Fan
Jan 6, 2001·Arquivos De Gastroenterologia·J M ChebliM M das Neves
Sep 25, 2001·The American Journal of Gastroenterology·M J Levy, J E Geenen
Jan 31, 2002·Gastrointestinal Endoscopy·Madhukar Kaw, George J Brodmerkel
Jan 31, 2002·Gastrointestinal Endoscopy·Leonard G QuallichGrace H Elta
Jan 31, 2002·Gastrointestinal Endoscopy·Michael J Levy
Oct 25, 2002·Gastrointestinal Endoscopy·James E Dill, Bobbie P Dill
Citations
Oct 15, 2005·Nature Clinical Practice. Gastroenterology & Hepatology·Julia MayerleMarkus M Lerch
Apr 20, 2005·Journal of Gastroenterology and Hepatology·Henning Gerke, John Baillie
May 11, 2007·Journal of Gastroenterology and Hepatology·Andreas NydeggerMark R Oliver
May 28, 2011·BMC Research Notes·V AbeysuriyaA Pathirana
Apr 11, 2012·Polski przeglad chirurgiczny·Justyna BogdanJerzy Jabłecki
May 25, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Kerrey B Buser
Jul 26, 2014·Ultrasonography·Chul Soon ChoiEun Sook Nam
Mar 19, 2009·Digestive Diseases and Sciences·Beom Jin KimJae Hoon Lim
Oct 7, 2011·Surgery·Jan TrnaMichael B Farnell
Aug 30, 2011·Primary Care·John Affronti
Sep 28, 2015·The Journal of Surgical Research·Saif DairiSteven C Cunningham
Nov 28, 2006·Best Practice & Research. Clinical Gastroenterology·Christoph JüngstDieter Jüngst
Mar 8, 2011·Journal of Pediatric Surgery·Lucas P NeffJohn K Petty
Jun 22, 2016·The American Journal of Gastroenterology·C Mel WilcoxShyam Varadarajulu
May 31, 2006·Gastrointestinal Endoscopy·C Mel WilcoxMohamad Eloubeidi
Oct 15, 2009·World Journal of Gastrointestinal Endoscopy·Raffaele Pezzilli
May 17, 2014·Clinical Medicine Insights. Gastroenterology·Vincenzo NeriLibero Luca Giambavicchio
Jun 13, 2018·Pancreas·Nalini M GudaMartin L Freeman
Oct 15, 2008·Pancreas·Charles Mel Wilcox, Meredith Kilgore
Sep 13, 2008·European Journal of Gastroenterology & Hepatology·Vasitha AbeysuriyaNavarathne M M Navarathne
Jul 23, 2011·American Journal of Physiology. Gastrointestinal and Liver Physiology·Ersin SeyhunConstanze H Kubisch
Dec 27, 2019·The British Journal of Surgery·D S UmansUNKNOWN Dutch Pancreatitis Study Group
Mar 21, 2020·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·H Seppänen, P Puolakkainen
Apr 5, 2020·Internal and Emergency Medicine·Giovanna Del Vecchio BlancoOmero Alessandro Paoluzi
May 2, 2019·Clinical Journal of Gastroenterology·Giovanna Del Vecchio BlancoOmero Alessandro Paoluzi
Nov 17, 2016·Frontiers in Pharmacology·Zizhao YangSu Zeng
Jul 31, 2010·American Journal of Physiology. Gastrointestinal and Liver Physiology·A MaloC H Kubisch
Nov 20, 2015·Annals of Surgery·Sari RätyHannu Paajanen
Mar 19, 2014·Pancreas·Jukka PulkkinenHannu Paajanen
Sep 21, 2018·Current Treatment Options in Gastroenterology·Soumya Jagannath, Pramod Kumar Garg
Oct 13, 2020·Endoscopy International Open·Juan J VilaJosé M Zozaya
Nov 5, 2021·BMC Surgery·Ali WarsiHo Lun Chong