[Composition of gallbladder and bile duct calculi].
The composition of gallbladder and bile duct stones removed at the time of cholecystectomy was analysed in a consecutive series of 45 patients. The type of stones at the two sites was similar in all but two patients. Cholesterol content differed by more than 20% in only six patients. Cholesterol stones were found in the gallbladder of 33 patients, in the bile duct of 36 patients (73 and 80%, respectively); mixed stones in eight and five patients, respectively (18 and 11%); brown-pigment stones in three patients each (7%); black-pigment stones in one patient each (2%). Bile duct stones overlooked during cholecystectomy are thus suitable for litholysis, e.g. by irrigation with monooctanoin, in the majority of cases.
D001649:Bile Duct Diseases / Q000378:metabolism; D001663:Bilirubin / Q000032:analysis; D002118:Calcium / Q000032:analysis; D002769:Cholelithiasis / Q000032:analysis*; D002784:Cholesterol / Q000032:analysis; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged
D002784:Cholesterol; D001663:Bilirubin; D002118:Calcium
Zusammensetzung von Gallenblasen- und Gallengangssteinen.