St Vincent Medical Center, Transplant & HPB Institute, 2200 West 3rd Street, Suite 200, Los Angeles, CA 90057, USA.
St Vincent Medical Center, Transplant & HPB Institute, 2200 West 3rd Street, Suite 200, Los Angeles, CA 90057, USA.
Surg Clin North Am. 2019 Apr;99(2):231-244. doi: 10.1016/j.suc.2018.12.006.
Gallstone disease is a leading cause of morbidity in the United States and usually requires surgical or endoscopic interventions for diagnosis and/or treatment. Although gallstone disease is classically associated with the inflammatory sequela of cholecystitis, gallstones can also contribute to other clinical presentations such as gallstone ileus, Mirizzi syndrome, and Bouveret syndrome. This article explores the common-and uncommon-causes of surgical pathology owing to gallstones with an emphasis on clinical identification, diagnostics, and management options.
胆石病是美国发病率较高的疾病之一，通常需要手术或内镜干预来进行诊断和/或治疗。尽管胆石病通常与胆囊炎的炎症后遗症有关，但胆石也可能导致其他临床表现，如胆石性肠梗阻、Mirizzi 综合征和 Bouveret 综合征。本文探讨了胆石引起外科病理学的常见和不常见病因，重点介绍了临床识别、诊断和治疗选择。
