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胆石症:静观其变,还是介入治疗?

Gallstones: Watch and wait, or intervene?

机构信息

Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.

Medicine Institute, Cleveland Clinic, Cleveland, OH, USA.

出版信息

Cleve Clin J Med. 2018 Apr;85(4):323-331. doi: 10.3949/ccjm.85a.17035.

DOI:10.3949/ccjm.85a.17035
PMID:29634468
Abstract

Gallstones are common in the United States, affecting an estimated 1 in 7 adults. Fortunately, they are asymptomatic in up to 80% of cases, and current guidelines do not recommend cholecystectomy unless they cause symptoms. Laparoscopic cholecystectomy is the standard treatment for symptomatic gallstones, acute cholecystitis, and gallstone pancreatitis.

摘要

在美国,胆结石很常见,估计每 7 个成年人中就有 1 个会受到影响。幸运的是,多达 80%的病例没有症状,目前的指南建议除非结石引起症状,否则不建议进行胆囊切除术。腹腔镜胆囊切除术是治疗有症状的胆结石、急性胆囊炎和胆石性胰腺炎的标准治疗方法。

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1
Gallstones: Watch and wait, or intervene?胆石症:静观其变,还是介入治疗?
Cleve Clin J Med. 2018 Apr;85(4):323-331. doi: 10.3949/ccjm.85a.17035.
2
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Timing of cholecystectomy in acute biliary pancreatitis: is it still reasonable to wait?急性胆源性胰腺炎胆囊切除术的时机:等待是否仍然合理?
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Management guidelines for gallstone pancreatitis. Are the targets achievable?胆结石性胰腺炎的管理指南。目标能够实现吗?
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JPN Guidelines for the management of acute pancreatitis: treatment of gallstone-induced acute pancreatitis.日本急性胰腺炎管理指南:胆结石性急性胰腺炎的治疗
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Gallstones after bariatric surgery: mechanisms and prophylaxis.减重手术后的胆结石:机制与预防
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Endoscopic management of postcholecystectomy complications at a Nigerian tertiary health facility.尼日利亚一家三级医疗机构的胆囊切除术后并发症的内镜治疗。
BMC Gastroenterol. 2024 Oct 22;24(1):375. doi: 10.1186/s12876-024-03468-5.
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Integration of bile proteomics and metabolomics analyses reveals novel insights into different types of gallstones in a high-altitude area.
胆汁蛋白质组学和代谢组学分析的整合揭示了高海拔地区不同类型胆石症的新见解。
BMC Gastroenterol. 2024 Sep 30;24(1):330. doi: 10.1186/s12876-024-03422-5.
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Association of education with cholelithiasis and mediating effects of cardiometabolic factors: A Mendelian randomization study.教育与胆结石的关联及心脏代谢因素的中介作用:一项孟德尔随机化研究
World J Clin Cases. 2024 Jul 16;12(20):4272-4288. doi: 10.12998/wjcc.v12.i20.4272.
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Comprehensive analysis of differential long non-coding RNA and messenger RNA expression in cholelithiasis using high-throughput sequencing and bioinformatics.利用高通量测序和生物信息学对胆石症中差异长链非编码RNA和信使RNA表达进行综合分析。
Front Genet. 2024 May 14;15:1375019. doi: 10.3389/fgene.2024.1375019. eCollection 2024.
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Biliary Disease in a Tertiary Care Hospital: A Review of Clinical and Radiological Burden.三级医疗中心医院的胆道疾病:临床与放射学负担综述
Cureus. 2024 Jan 25;16(1):e52927. doi: 10.7759/cureus.52927. eCollection 2024 Jan.
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Clinical study on the necessity and feasibility of routine MRCP in patients with cholecystolithiasis before LC.胆囊结石患者行 LC 前常规行 MRCP 的必要性和可行性临床研究。
BMC Gastroenterol. 2024 Jan 9;24(1):28. doi: 10.1186/s12876-023-03117-3.
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Evidence-based clinical practice guidelines for cholelithiasis 2021.2021 年胆石病循证临床实践指南。
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Cholecystectomy reduces the risk of myocardial and cerebral infarction in patients with gallstone-related infection.胆囊切除术降低了胆石症相关感染患者心肌梗死和脑梗死的风险。
Sci Rep. 2022 Oct 6;12(1):16749. doi: 10.1038/s41598-022-20700-y.
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