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Common use of acupuncture for cholelithiasis in China suggests a potential alternative approach for this disorder in North America.
Ultrasound diagnosis of acute cholecystitis, cholelithiasis, and normal biliary tract were end points.
Schirmer WJ, Grisoni ER, Gauderer MW: The spectrum of cholelithiasis in the first year of life.
Abdominal ultrasonography did not show cholelithiasis.
Associated conditions include diabetes, cholelithiasis, peptic ulcer disease, and Zolliger-Ellison syndrome.
Most common diagnoses included CDL (n = 9, 30%), biliary sludge (n = 11, 37%), pancreatitis (n = 8, 27%), and cholelithiasis (n = 7, 23%).
The article, which appears to be based on a poster presentation at a conference, describes the results of a "gallbladder flush" procedure in six patients with symptomatic cholelithiasis proven by ultrasound.
In 11 patients, simultaneous cholecystectomy was performed for incidental cholelithiasis.
The researchers found an annual incidence for any gallbladder event (cholecystitis, cholelithiasis, or cholecystectomy) of 78 per 10,000 person-years for women in the estrogen-alone group, compared with 47 per 10,000 person-years for those on placebo.
Sex/age Total AP, L-AP, 5NT, (years) U/L U/L U/L Remarks F/83 97 34 16 Cholelithiasis F/84 115 50 9 Chronic obstructive pulmonary disease, no evidence of liver disease M/52 223 13 11 Hepatocellular carcinoma, liver cirrhosis, cholecystitis M/61 112 32 41 Hepatocellular carcinoma, cholelithiasis M/65 86 23 14 Fatty liver M/61 101 45 17 Fatty liver, cholecystitis
The patient's work-up included a normal abdominal computer tomography; abdominal ultrasound showed nonobstructing cholelithiasis.
The median income was $19,000 in the south and $31,000 in the north, implying a relation between income and cholelithiasis through differing morbidity or management by social class.
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