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Biliary sludge as a cause of acute pancreatitis

Article Abstract:

Biliary sludge may cause acute pancreatitis and increase the likelihood of recurring attacks of pancreatitis. Biliary sludge is a mixture of either calcium bilirubinate granules or cholesterol monohydrate crystals and bile found mainly in the gall bladder. A study of 86 patients with acute pancreatitis found that 31 had pancreatitis without a known cause and 21 of those had microscopic evidence of biliary sludge. Ultrasound detected biliary sludge in only 11 of these patients, and in 10, the sludge was primarily calcium bilirubinate granules. In the ten patients whose sludge was not detected by ultrasound, eight had sludge composed primarily of cholesterol monohydrate crystals. The 10 patients with sludge who had their gall bladder removed or had surgery on their gallbladder had fewer recurrences of pancreatitis.

Author: Lee, Sum P., Nicholls, Jane F., Park, Han Z.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1992
Health aspects, Causes of, Bile

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Regression of liver fibrosis after biliary drainage in patients with chronic pancreatitis and stenosis of the common bile duct

Article Abstract:

The liver may regenerate itself after conditions that cause liver fibrosis have been corrected. This was documented in nine men who were surgically treated for obstruction of the common bile duct caused by pancreatitis. Liver biopsies taken before and after the procedure showed improvement in six patients.

Author: Degott, Claude, Hammel, Pascal, Couvelard, Anne, O'Toole, Dermot, Ratouis, Anne, Sauvanet, Alain, Flejou, Jean Francois, Belghiti, Jacques, Bernades, Pierre, Valla, Dominique, Ruszniewski, Philippe, Levy, Philippe
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2001
Liver, Liver regeneration, Complications, Common bile duct, Bile ducts

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A 47-year-old man with recurrent pancreatitis and a cystic pancreatic mass

Article Abstract:

The care of a 47-year-old man with recurrent abdominal pain and a lesion in the pancreas is presented. The clinical diagnosis of the patient was found to be mucinous cystic tumor of the pancreas whereas pathological and anatomical examinations revealed a case of intraductal papillary mucinous carcinoma.

Author: Wanebo, Harold J., Yantis, Rhonda K.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2000
United States, Statistical Data Included, Complications and side effects, Illustration, CT imaging, CAT scans, Cysts, Abdomen, Laparotomy

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Subjects list: Pancreatitis, Surgery
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