Related Experiment Video
Updated: Aug 6, 2026
03:56
A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
[Cholecystectomy: a choice technique in biliary microlithiasis]
A Herrera Ballester1, P Canelles Gamir, E Medina Chulia
1Unidad de Endoscopia Digestiva, Hospital General Universitario de Valencia.
Anales De Medicina Interna (Madrid, Spain : 1984)
|March 1, 1995
Summary
Cholecystectomy effectively resolves symptoms in most patients, even with negative imaging. Bile microcrystals indicate gallbladder disease, supporting surgical intervention for symptomatic relief.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Bile microcrystals can indicate gallbladder disease.
- Radiologic diagnoses like echography and cholecystography may not detect all cases.
Purpose of the Study:
- To evaluate outcomes after cholecystectomy.
- To correlate bile microcrystal findings with clinical presentation and surgical pathology.
- To assess the diagnostic value of bile analysis versus imaging.
Main Methods:
- Analysis of bile samples and pathological findings from 25 patients post-cholecystectomy.
- Comparison with 34 non-operated patients with similar symptoms.
- 24-month follow-up for symptom assessment.
Main Results:
- Microscopic cholelithiasis (12), granular cholelithiasis (3), acute cholecystitis (2), cholesterolosis (2).
- 6 patients had no pathological findings.
- 96% of operated patients were symptom-free after 24 months.
Conclusions:
- Bile microcrystal analysis is valuable for diagnosing gallbladder disease.
- Cholecystectomy leads to high rates of symptom resolution.
- Surgical intervention is effective even when imaging is inconclusive.
Related Concept Videos
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
01:20Cholecystitis
Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...