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[囊性纤维化中的胆石症。1例血清和胆汁中胆盐的研究(作者译)]

[Biliary lithiasis in cystic fibrosis. Study of the bile salts in the serum and in the bile in one case (author's transl)].

作者信息

Feigelson J, Pécau Y, Bereziat G, Pépin D, Sauvegrain J, Pennaforte F, Roynette A

出版信息

Nouv Presse Med. 1979 Oct 8;8(38):3029-31.

PMID:534165
Abstract

Biliary lithiasis was discovered in a girl aged 11 suffering from Cystic Fibrosis and who underwent partial small bowel resection for meconium ileus. A cholecystectomy was performed at 15. Examination of the stones showed that they were composed of cholesterol and chemical examination of the bile showed an increase of phospholipids and a decrease in bile salts. There was also a modification of the ratio (Formula: see text) in the serum and the bile. All those factors contribute to the insolubility of cholesterol and to the formation of lithiasis. For all those reasons, the authors recommend a regular radiologic surveillance of the gallbladder in Cystic Fibrosis.

摘要

在一名11岁患囊性纤维化且因胎粪性肠梗阻接受部分小肠切除术的女孩中发现了胆石症。该女孩15岁时接受了胆囊切除术。对结石的检查表明它们由胆固醇组成,胆汁的化学检查显示磷脂增加而胆盐减少。血清和胆汁中的比例(公式:见原文)也有改变。所有这些因素都导致胆固醇不溶性增加和结石形成。基于所有这些原因,作者建议对囊性纤维化患者的胆囊进行定期放射学监测。

相似文献

1
[Biliary lithiasis in cystic fibrosis. Study of the bile salts in the serum and in the bile in one case (author's transl)].[囊性纤维化中的胆石症。1例血清和胆汁中胆盐的研究(作者译)]
Nouv Presse Med. 1979 Oct 8;8(38):3029-31.
2
Biliary lipid secretion in cholesterol gallstone disease. The effect of cholecystectomy and obesity.胆固醇结石病中的胆汁脂质分泌。胆囊切除术和肥胖的影响。
J Clin Invest. 1977 May;59(5):828-40. doi: 10.1172/JCI108705.
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[Choleithiasis and intestinal by-pass. Determination of bile in the bile, peripheral blood and portal blood].[胆石症与肠道改道术。胆汁、外周血和门静脉血中胆汁的测定]
Arch Fr Mal App Dig. 1974 Jul-Aug;63(5):401-6.
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Abnormal biliary lipid composition in cystic fibrosis. Effect of pancreatic enzymes.囊性纤维化患者的异常胆汁脂质成分。胰酶的作用。
N Engl J Med. 1977 Dec 15;297(24):1301-5. doi: 10.1056/NEJM197712152972401.
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[Why do children rarely have gallstones? Examinations of the lithoindices and the bile acid pattern in infants and children in health and disease (author's transl)].
Monatsschr Kinderheilkd. 1980 Aug;128(8):551-7.
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[Interrelations of changes in liver tissue and chemical composition of the bile and biliary calculi].[肝脏组织变化与胆汁及胆石化学成分之间的相互关系]
Vestn Khir Im I I Grek. 1987 Dec;139(12):24-7.
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[Bile composition in patients with high risk of cholelithiasis].
Minerva Med. 1976 Nov 3;67(53):3483-90.
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Failure of medical treatment in an adult cystic fibrosis patient with meconium ileus equivalent.一名成年囊性纤维化患者出现胎粪性肠梗阻样病变,药物治疗失败。
Tech Coloproctol. 2005 Apr;9(1):42-4. doi: 10.1007/s10151-005-0191-8.
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[Present position of surgery of ileus of the newborn in the region of the jejunum, ileum and colon (author's transl)].新生儿空肠、回肠和结肠肠梗阻手术的当前状况(作者译)
MMW Munch Med Wochenschr. 1974 May 31;116(22):1119-22.
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Significance of the liver in the production of lithogenic bile in man.肝脏在人类致石性胆汁生成中的意义。
Gastroenterology. 1970 Jul;59(1):62-9.

引用本文的文献

1
The changing aspects of cholelithiasis in children through a sonographic study.
Pediatr Radiol. 1981;11(2):75-9. doi: 10.1007/BF00971783.