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Biliary tract disease in Thailand.

P Juttijudata, C Chiemchaisri, C Palavatana

    Surgery, Gynecology & Obstetrics
    |January 1, 1984
    PubMed
    Summary

    Biliary tract diseases in Thailand show a high prevalence of malignancy, particularly cholangiocarcinoma. Acute cholecystitis is common, with choledocholithiasis and intrahepatic stones requiring further investigation.

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    Area of Science:

    • Gastroenterology and Hepatology
    • Surgical Pathology
    • Epidemiology of Biliary Tract Diseases

    Background:

    • Biliary tract diseases represent a significant health concern, with varying etiologies and prevalence across different regions.
    • Malignant conditions, including cholangiocarcinoma, are a notable cause of morbidity.
    • Parasitic infections, such as opisthorchiasis, contribute uniquely to biliary pathology in endemic areas.

    Purpose of the Study:

    • To analyze the spectrum of biliary tract diseases in a documented patient cohort.
    • To determine the prevalence of malignant and benign biliary tract conditions.
    • To investigate the specific characteristics and etiological factors of biliary tract diseases in Thailand.

    Main Methods:

    • Retrospective review of 189 patients with documented biliary tract disease.
    • Analysis of lesion types, diagnoses, and associated conditions.
    • Radiological diagnosis supported by parasitic ova identification for opisthorchiatic cysts.

    Main Results:

    • Malignant disease accounted for 30.1% of biliary tract disease, with cholangiocarcinoma being a leading cause.
    • Acute cholecystitis (55%) was prevalent, comprising calculous (94.8%) and non-calculous (5.2%) forms.
    • Cholelithiasis (58.5%), choledocholithiasis (68.8%), and intrahepatic stones (15.6%) were common in calculous cholecystitis. Opisthorchiatic cysts were the most frequent cause of remaining surgical biliary disease.

    Conclusions:

    • Cholangiocarcinoma is a significant cause of malignant biliary tract disease.
    • High rates of choledocholithiasis and intrahepatic stones warrant further research.
    • Opisthorchiasis presents unique clinical entities and requires specific diagnostic and treatment approaches.

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