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血液系统疾病与胆囊结石之间的关联:当前证据综述

Association between hematological disorders and gallbladder stones: A review of current evidence.

作者信息

Qu Zhi-Jie, Wang Yu-Ning, Liu Ya-Hui, Duan Rui-Heng

机构信息

Department of Nephrology, Second Hospital of Jilin University, Changchun 130022, Jilin Province, China.

Department of Breast Surgery, China-Japan Union Hospital of Jilin University, Changchun 130022, Jilin Province, China.

出版信息

World J Gastrointest Surg. 2025 May 27;17(5):105058. doi: 10.4240/wjgs.v17.i5.105058.

Abstract

Gallbladder stones, a prevalent biliary tract disease, have multifactorial etiologies including metabolic, genetic, and environmental factors. Emerging evidence suggests that hematological disorders, particularly those involving hemolysis or impaired erythropoiesis, may play a significant role in the formation of gallbladder stones, predominantly pigment stones. This review explores the pathophysiological mechanisms linking hematological disorders, such as hemolytic anemias, myeloproliferative disorders, and hematological malignancies, with gallbladder stone development. We also examine the influence of treatments for hematological conditions, such as blood transfusions and chemotherapy, on gallstone risk. Additionally, this article discusses the clinical implications of gallbladder stones in patients with hematological disorders, including diagnostic challenges, management strategies, and surgical considerations. By providing a comprehensive overview of current knowledge, this review aims to highlight the need for further research into the interplay between hematological disorders and gallbladder stones, potentially improving preventive and therapeutic strategies in these patient populations.

摘要

胆囊结石是一种常见的胆道疾病,其病因是多因素的,包括代谢、遗传和环境因素。新出现的证据表明,血液系统疾病,特别是那些涉及溶血或红细胞生成受损的疾病,可能在胆囊结石(主要是色素结石)的形成中起重要作用。本综述探讨了将血液系统疾病,如溶血性贫血、骨髓增殖性疾病和血液系统恶性肿瘤,与胆囊结石发展联系起来的病理生理机制。我们还研究了血液系统疾病的治疗方法,如输血和化疗,对胆结石风险的影响。此外,本文讨论了血液系统疾病患者胆囊结石的临床意义,包括诊断挑战、管理策略和手术考虑因素。通过全面概述当前知识,本综述旨在强调有必要进一步研究血液系统疾病与胆囊结石之间的相互作用,这可能会改善这些患者群体的预防和治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d5/12149951/e37eda3eedfa/105058-g001.jpg

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