Study on the Cholelithiasis with Jaundice during 10 year period

概要

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During the 10 year period from 1960 to 1969, 697 patients who had been treated surgically for Cholelithiasis were studied on clinical significance of jaundice in the postoperative results, devided in four groups with or without jaundice and presence or absence of the stone in the common duct.Severe jaundice was not seen in the patient with cholelithiasis. Majority of jaundiced patients show abnormal liver function, positive bacterial culture of the bile and the severe inflammatory changes of the gallbladder and the liver.Almost of jaundiced patients showed decrease of jaundice on the early postoperative course and their postoperative result is satisfactory as well as the patients who have had no jaundice. Postoperative results are not satisfactory in the choledocholithiasis and mortality increase with age, common duct stone and the acute inflammatory changes of the gallbladder. Elevation of icterus index is not related to mortality.Severe jaundice is characterized of severe liver damage, infection of the biliary tract and surgical conditions on the operation.Such conditions as the liver damage, infection, the lesion which caused jaundice make the postoperative results unsatisfactory as well as the indication to the surgical intervention.
財団法人日本消化器病学会の論文