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Endoscopy 1999; 31(5): 383-385
DOI: 10.1055/s-1999-36
Short Communication
Georg Thieme Verlag Stuttgart ·New York

Foreign Material as a Cause of Choledocholithiasis

 V. Procházka 1 ,  D. Krausová 2 ,  R. Kod'ousek 3 ,  P. Zámečníková 1
  • 1 2nd Internal Clinic, Palack¿ University, Olomouc, Czech Republic
  • 2 Dept. of Inorganic and Physical Chemistry, Faculty of Natural Sciences, Palack¿ University, Olomouc, Czech Republic
  • 3 Institute of Pathological Anatomy, Palack¿ University, Olomouc, Czech Republic
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Publication History

Publication Date:
31 December 1999 (online)

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Introduction

The pathogenesis of gallstone formation in the biliary duct remains unknown. However, numerous factors associated with their origin appear to be of importance. With regard to the formation of concretions in the biliary duct, there are adequate findings concerning the effects of benign or malignant strictures, of bacterial infection and parasites, and of metabolic changes and dietary habits, as well as those of anatomical conditions in the bilioduodenal region [[1] [2] [3] [4] [5] [6]]. However, there are only sporadic reports about foreign material as a cause of lithiasis [[7] [8] [9]].

The aim of the present study was to investigate the structure of gallstones obtained endoscopically from the biliary duct, in order to determine whether foreign material may lead to choledocholithiasis. In addition, the correlation between foreign material in gallstones and clinical data was investigated.

References

  • 1 Tabata M, Nakayama F. Bacteria and gallstones: etiological significance.  Dig Dis Sci. 1981;  26 218-24
    CrossrefPubMedGoogle Scholar
  • 2 Goodhart GL, Levison ME, Trotman BW, et al. Pigment vs. cholesterol cholelithiasis: bacteriology of gallbladder stones, bile and tissue correlation with biliary lipid analysis.  Am J Dig Dis. 1978;  23 877-82
    CrossrefPubMedGoogle Scholar
  • 3 Lygidakis NJ. Incidence of bile infection in patients with choledocholithiasis.  Am J Gastroenterol. 1982;  77 12-7
    PubMedGoogle Scholar
  • 4 Schulman A. Non-western patterns of biliary stones and the role of ascariasis.  Radiology. 1987;  162 425-30
    PubMedGoogle Scholar
  • 5 Lotveit T, Osnes M, Larsen S. Recurrent biliary calculi: duodenal diverticula as a predisposing factor.  Ann Surg. 1982;  196 30-2
    PubMedGoogle Scholar
  • 6 Kennedy RH, Thompson MH. Are duodenal diverticula associated with choledocholithiasis?.  Gut. 1988;  29 1003-6
    PubMedGoogle Scholar
  • 7 Whiting MJ, Watts JM. Chemical composition of common bile duct stones.  Br J Surg. 1986;  73 229-32
    PubMedGoogle Scholar
  • 8 Wosiewitz U, Schenk J, Sabinski F, et al. Investigations on common bile duct stones.  Digestion. 1983;  26 43-52
    PubMedGoogle Scholar
  • 9 Bergmann M, Borner R, Winnefeld K, et al. Clinical, infrared spectroscopic and chemical analysis of bile duct and gallbladder stones (in German).  Gastroenterol J. 1991;  51 5-11
    PubMedGoogle Scholar
  • 10 Toouli J, Geenen JE, Hogan WJ, et al. Sphincter of Oddi motor activity: a comparison between patients with common bile duct stones and controls.  Gastroenterology. 1982;  82 111-7
    PubMedGoogle Scholar

V. ProcházkaM.D. 

Dept. of Digestive Endoscopy

2nd Internal Clinic

Palack¿ University

I.P. Pavlova 6, Olomouc 775 20

Czech Republic

Phone: + 420-68-5852501

Email: kryspin@2ik.fnol.cz

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