CLINICAL-SIGNIFICANCE OF CHOLELITHIASIS IN PATIENTS WITH DECOMPENSATED CIRRHOSIS

被引:13
|
作者
FINUCCI, G
TIRELLI, M
BELLON, S
ZAMBON, M
TOFFOLO, L
MERKEL, C
ZUIN, R
机构
[1] Cattedra di Clinica Medica, Padova
关键词
Cholelithiasis; Liver cirrhosis; Portal hypertension;
D O I
10.1097/00004836-199010000-00010
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
There is general agreement that the prevalence of gallstones in cirrhotics is high (at least twice that in the general population), but the pathogenetic link between cirrhosis and cholelithiasis is still uncertain. The influence of cholelithiasis on survival in cirrhotics is also unknown. During an 8-year period, we observed 90 patients affected by decompensated cirrhosis: 36 of them (40%) turned out by cholecystographic/cholangiographic or ultrasonographic examination to have cholelithiasis. We were not able to demonstrate any correlation between cholelithiasis and sex, age of patients, etiology of cirrhosis severity of the illness, degree of portal hypertension, previous gastrointestinal bleeding, number of pregnancies, or levels of serum cholesterol, bilirubin, and triglycerides. During the follow-up observation, (range, 1–91 months), 30 patients died. Survival curves analyzed by the log-rank test did not show any difference between patients with or without gallstones. We therefore confirm that cirrhosis is a lithogenic condition, but we were not able to explain the reasons for the close relationship between cholelithiasis and cirrhosis. Gallstones, however, did not affect the survival of these patients. © 1990 Raven Press, Ltd., New York.
引用
收藏
页码:538 / 541
页数:4
相关论文
共 50 条
  • [31] CLINICAL-SIGNIFICANCE OF ANP
    ISHIKURA, F
    AMERICAN HEART JOURNAL, 1993, 125 (06) : 1822 - 1822
  • [32] CLINICAL-SIGNIFICANCE OF THE MICROCIRCULATION
    MAHLER, F
    SCHWEIZERISCHE MEDIZINISCHE WOCHENSCHRIFT, 1987, 117 (14) : 535 - 538
  • [33] CLINICAL-SIGNIFICANCE OF BACTEROIDACEAE
    HUDAC, A
    INFECTION, 1980, 8 : S207 - S208
  • [34] CLINICAL-SIGNIFICANCE OF FERRITINURIA
    LIPSCHITZ, DA
    ALLEGRE, A
    COOK, JD
    BLOOD, 1980, 55 (02) : 260 - 264
  • [35] THE CLINICAL-SIGNIFICANCE OF ECHOCARDIOGRAPHY
    SCHONEBERGER, A
    REIFART, N
    MEDIZINISCHE KLINIK, 1985, 80 (08) : 208 - 213
  • [36] THE CLINICAL-SIGNIFICANCE OF HYPEROXALEMIA
    TOMSON, CRV
    INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS, 1988, 11 (05): : 329 - 334
  • [37] CLINICAL-SIGNIFICANCE OF ADENOMYOSIS
    NIKKANEN, V
    PUNNONEN, R
    ANNALES CHIRURGIAE ET GYNAECOLOGIAE, 1980, 69 (06) : 278 - 280
  • [38] CLINICAL-SIGNIFICANCE OF THE EKTACYTOMETER
    ADJIZIAN, JC
    POTRON, G
    PIGNON, B
    BLAISE, AM
    OSTERMANN, G
    NOUVELLE REVUE FRANCAISE D HEMATOLOGIE, 1986, 28 (01): : 60 - 60
  • [39] CLINICAL-SIGNIFICANCE OF HYPERAMYLASEMIA
    VENTRUCCI, M
    PEZZILLI, R
    PLATE, L
    GULLO, L
    FESTI, D
    BARBARA, L
    DIGESTION, 1988, 40 (02) : 121 - 121
  • [40] THE CLINICAL-SIGNIFICANCE OF COMPLIANCE
    HERRMANN, JM
    GAUS, E
    SCHWEIZERISCHE MEDIZINISCHE WOCHENSCHRIFT, 1981, 111 (51) : 1998 - 2005