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- W206882016 abstract "Patients with acute pancreatitis (AP) and a normal gallbladder by standard echographic evaluation may have occult gallbladder disease or microlithiasis with recurrent episodes of AP.To conduct a prospective evaluation of patients with the diagnosis of non-biliary AP in order to detect occult gallbladder disease and to compare its clinical presentation with that of biliary AP.Patients admitted with the diagnosis of AP to a clinical hospital were included in the study. According to an abdominal ultrasound study, patients were classified as having or not cholelithiasis. A duodenal biliary drainage was performed in 15 patients with AP and without gallbladder stones.Patients without cholelithiasis had recurrent AP more often than patients with biliary AP (53 and 3.3% respectively). Excessive alcohol ingestion did not rule out the possibility of biliary etiology. In 6 patients, the analysis of duodenal bile showed cholesterol crystals, and cholecystectomy confirmed the existence of gallbladder disease in 5. All of them remained asymptomatic during a follow-up period of four years. One patient refused surgery, with subsequent development of gallstones and recurrent episodes of AP. In other 4 patients, gallbladder disease was confirmed by percutaneous gallbladder puncture or during cholecystectomy. No recurrence of AP were observed during the follow-upMicrolithiasis or occult gallbladder disease accounts for at least 67% of the original non-biliary AP. Duodenal bile analysis is a useful and necessary technique for the evaluation of patients with non-biliary acute pancreatitis. Careful clinical and echographic follow-up of this subgroup of patients with AP is mandatory." @default.
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- W206882016 date "1997-08-01" @default.
- W206882016 modified "2023-10-14" @default.
- W206882016 title "[Occult gallbladder disease or microlithiasis in patients with acute pancreatitis: a frequent clinical event]." @default.
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