[Analysis and epidemiology of gallstones in deceased and autopsied patients of the Thurgau canton].
In our postmortem examinations of patients in the canton of Thurgau from May 1989 through December 1991 we found a cholelithiasis or a condition after a cholecystectomy of gallstones in 44% of the women and 23% of the men. While gallstones were found in only 11% of the women and 7% of the men up to age 50, half of all women and every third man in the age group over 90 had gallstones. Among the gallstone carriers, 8% of the women and 2.5% of the men had developed a gall bladder--gall duct carcinoma. Where a liver cirrhosis was present, gallstones occurred at nearly the same rate in both sexes (45%/44%). 33% of the persons with gallstones had a solitary stone, and 31% had more than 10 stones. More than a third of all stones had a cholesterol content of more than 80%, and every seventh stone had a bilirubin content higher than 80%. The calcium content of more than 40% of the stones exceeded 5%. The examination for bilirubin can be easily performed with some exercise by means of the bilirubin test field on the urine sticks supplied by the Boehringer Mannheim company.
Etspüler
H K
HK
Institut für Pathologie, Diagnostische Strahlentherapie und Radiotherapie, Universitätsspital Zürich.
Asper
R
R
Wild
J A
JA
Hardmeier
T
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000401:mortality* / Q000473:pathology; D003430:Cross-Sectional Studies; D005260:Female; D005704:Gallbladder / Q000473:pathology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D013557:Switzerland
Analyse und Epidemiologie von Gallensteinen anhand im Kanton Thurgau verstorbener und obduzierter Patienten.