Download e-book for iPad: Biliary Lithiasis: Basic Science, Current Diagnosis and by Giuseppe (EDT)/ Cordiano, Claudio (EDT) Borzellino


By Giuseppe (EDT)/ Cordiano, Claudio (EDT) Borzellino

The e-book provides an review on biliary lithiasis and all its scientific images, two decades after the 1st laparoscopic cholecystectomy. The gallbladder, the most bile duct and intra-hepatic stones, of their basic and complex forms are illustrated. Chapters are thinking about simple technology, epidemiology, diagnostic and healing approaches to biliary lithiasis. the several diagnostic systems defined comprise  invasive and noninvasive imaging,  and healing procedures think about scientific remedy, open and minimally invasive surgical procedure, endoscopic and percutaneous ways, either individually and as mixed procedures.  The book's content material is not restricted to the most as a rule used therapeutic techniques suggested within the literature, but also addresses new and leading edge healing options for biliary lithiasis. due to its accomplished procedure, this quantity might be of curiosity not just for GPs amd experts during this box, but in addition to citizens and different healthcare professional of alternative disciplines.

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Extra resources for Biliary Lithiasis: Basic Science, Current Diagnosis and Management

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J Gastroenterol Hepatol 21:1737-1743 15. Tung TH, Ho HM, Shih HC et al (2006) A population-based follow-up study on gallstone disease among type 2 diabetics in Kinmen, Taiwan. World J Gastroenterol 12:4536-4540 16. Nomura H, Kashiwagi S, Hayashi J et al (1988) Prevalence of gallstone disease in a general population of Okinawa, Japan. Am J Epidemiol 128:598-605 17. Biss K, Ho KJ, Mikkelson B et al (1971) Some unique biologic characteristics of the Masai of 17 East Africa. N Engl J Med 284:694-699 18.

Tiny percentage of biliary sphingomyelin is more hydrophilic than canalicular membrane sphingomyelin. Despite the virtual absence of sphingomyelin in bile, the higher concentration of this phospholipid present on the canalicular membrane than on the sinusoidal membrane suggests that canalicular sphingomyelin may have a relevant role in the process of canalicular extraction of lipids. Molecular Mechanisms of Biliary Lipid Secretion Bile salts exert a stimulatory function for the secretion of biliary lipids.

The cholesterol saturation index (CSI) has its maximum normal value set at 1 for the micellar-phase boundary. Above this boundary, bile becomes supersaturated and the CSI value is higher than 1. Below this boundary, bile is unsaturated and the CSI value is lower than 1. Based upon the solid and liquid crystallization sequences present in the bile, the left two-phase and the central three-phase regions are divided by dashed lines into regions A to D. The number of phases given represents the equilibrium state may be present in biles obtained from individuals with or without cholesterol gallstones.

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