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1. 胆嚢摘出術以外の胆のう結石症治療の概要overview of nonsurgical management of gallbladder stones [show details]
… the initial gallstones. Even in the case of previous calcified gallstones, recurrent gallstones are usually rich in cholesterol, and may be suitable for oral bile acid dissolution therapy . However, recurrent …
2. 総胆管結石症：臨床症状、診断、およびマネージメントcholedocholithiasis clinical manifestations diagnosis and management [show details]
… Choledocholithiasis refers to the presence of gallstones within the common bile duct. This topic will review the clinical manifestations and diagnosis of choledocholithiasis. The treatment of choledocholithiasis …
3. 成人に生じる胆石症の概要overview of gallstone disease in adults [show details]
… for medical dissolution therapy for gallstones. Cholescintigraphy (HIDA scan) – Cholescintigraphy (99mTc-heapto-iminodiacetic acid [HIDA] scanning) is not used in the diagnosis of gallstones, but is useful …
4. 胆石の管理法approach to the management of gallstones [show details]
… function to determine if they are candidates for oral dissolution therapy. The majority of patients with asymptomatic (incidental) gallstones do not require treatment. Patients can usually be managed …
5. Mirizzi症候群mirizzi syndrome [show details]
… surgery for cholelithiasis . Approximately 50 to 77 percent of patients with Mirizzi syndrome are women, which may in part be due to a higher incidence of gallstones in women.… with endoscopy . The endoscopic approach included sphincterotomy, mechanical lithotripsy, dissolution therapy with methyl tert-butyl ether, extracorporeal shockwave lithotripsy, and common bile duct stents …

Japanese Journal

P45-03 アセチルシステインによる直接胆石溶解療法が奏功した胆汁栓症候群の1例(ポスターセッション45 胆石・胆道拡張症1)

山内健,佐伯勇,田中桜,財前善雄,森鼻栄治,総崎直樹
日本小児外科学会雑誌 48(3), 672, 2012
NAID 110009582359

胆石溶解療法後の石灰乳胆汁の1例

山中秀高,神谷里明,鬼頭靖,松永宏之,川井覚,石坂貴彦
日本臨床外科学会雑誌 = The journal of the Japan Surgical Association 69(12), 3257-3260, 2008-12-25
… を主成分とする物質の貯留をきたす疾患で，コレステロール結石による胆嚢管閉塞を伴うことが多い．しかし，今回われわれは(1)胆石溶解療法後であること，(2)黒色石によることの2点で稀であった1例を経験したので報告した．症例は53歳，女性．30年前に胆石溶解療法の既往がある．現病歴は検診で右上腹部の石灰化陰影を指摘され受診した．腹部単純X線写真，USおよびCTで胆嚢に一致した径40mm大 …
NAID 10024953729