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2015 | 86 | 3 | 111-115
Tytuł artykułu

Cholelithiasis in Home Parenteral Nutrition (Hpn) Patients – Complications of the Clinical Nutrition: Diagnosis, Treatment, Prevention

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Long-term home parenteral nutrition (HPN) is an important factor for cholelithiasis. An individualized nutrition program, trophic enteral nutrition and ultrasound bile ducts monitoring is a necessity in those patients. The aim of the study was to evaluate the usefulness of prophylactic cholecystectomy in patients with asymptomatic cholelithiasis requiring HPN. Material and methods. 292 chronic HPN patients were analyzed in the period from 2005 to 2012. Patients were divided into four groups: A - without cholelithiasis, B - with asymptomatic cholelithiasis, C - urgent cholecystectomy because of cholecystisis caused by gallstones, D - cholecystectomy in patients without cholelithiasis performed during an operation to restore the continuity of the digestive tract. The patients were additionally divided depending on the extent of resection of the small intestine and colon. Results. 36.9% of chronic HPN patients had cholelithiasis confirmed using ultrasonographic examination. Cholecystectomy due to acute cholecystitis symptoms was performed in 14.4% of the patients. The remaining 22.6% patients had asymptomatic cholelithiasis. Prophylactic cholecystectomy was performed in 5.5% patients with no signs of cholelcystisis during the planned operation to restore the continuity of the digestive tract. Conclusions. Cholelithiasis in chronic HPN patients is a frequent phenomenon. It seems useful to perform prophylactic cholecystectomy during primary subtotal resection of the small intestine, because the risk of cholelithiasis in this group of patients is very high.
Słowa kluczowe
Wydawca

Rocznik
Tom
86
Numer
3
Strony
111-115
Opis fizyczny
Daty
wydano
2014-03-01
otrzymano
2013-12-31
online
2014-04-25
Twórcy
  • Department of General Surgery and Clinical Nutrition, Warsaw Medical University
autor
  • Department of Human Nutrition, Warsaw Medical University
  • Department of General Surgery and Clinical Nutrition, Warsaw Medical University
Bibliografia
  • 1. Ryżko J, Górczewska M, Jankowska I: Patogeneza kamicy żółciowej. Pediatria Współczesna. Gastroenterologia, Hepatologia i Żywienie Dziecka 2011; 13: 1: 50-54.
  • 2. Ostrowska L, Czapska D, Stefańska E i wsp.: Czynniki ryzyka kamicy żółciowej u osób otyłych i z należną masą ciała. Roczniki PZH 2005; 1: 67-76.
  • 3. Attili AF, Capocaccia R, Carulli N et al.: Factors associated with gallstone disease in the MICOL experience. Hepatology 1997; 26; 4: 809-18.[PubMed][Crossref]
  • 4. Shaffer EA: Epidemiology and risk factors for gallsstone disease: Has the paradigm changed in the 21st century? Current Gastroenterol Report 2005; 7(7): 132-40.
  • 5. Roslyn JJ , Pitt HA, Mann LL et al.: Gallbladder disease in patients on long-term parenteral nutrition. Gastroenterology 1983; 92: 966-68.
  • 6. Szwed Z, Życiński P: 4-F - nadal aktualne czynniki ryzyka kamicy żółciowej. Wiad Lek 2007; 11-12: 570-73.
  • 7. Xu ZW , Li YS : Pathogenesis and treatment of parenteral nutrition-associated liver disease. Hepatobiliary Pancreat Dis Int 2012; 11(6): 586-93.[PubMed][Crossref][WoS]
  • 8. Manji N, Bistrian BR, Mascioli EA et al.: Gallstone disease patients with severe short bowel syndrome dependent on parenteral nutrition. J Parenteral & Enteral Nutr 1989; 13(5): 461-64.[Crossref]
  • 9. Thompson JS : Reoperation in patients with the short bowel syndrome. Am J Surg1992; 164(5): 453-57.[Crossref][PubMed]
  • 10. Thompson JS : The role of prophylactic cholecystectomy in the short-bowel-syndrome. Arch Surg 1996; 13(5): 556-60.[Crossref]
  • 11. Seetharam P, Rodrigues G: Short Bowel Syndrome. A review of Management Options. Saudi J Gastroenterol 2011; 17(4): 229-35.[WoS][PubMed]
  • 12. Dray X,Joly F, Reijasse D et al.: Incidence, risk factors and complications of cholelithiasis in patients with Home Parenteral Nutrition. J Am Coll Surg 2007; 204(1): 13-21.
  • 13. Howard L, Ashley Ch: Management on Complications in Patients Receiving Home Parenteral Nutrition. Gastroenterology 2003; 124: 1651-61.
  • 14. Thompson JS , Weseman RA, Rochling FA: Preresection Obesity Increases the Risk of Hepatobiliary Complications in Short Bowel Syndrome. Nutrients 2012; 4(10): 1358-66.[WoS][PubMed][Crossref]
  • 15. Nightingale JM : Hepatobiliary, renal and bone complications of intestinal failure. Best Pract Res Clin Gastroenterol 2003; 17(6): 907-29.[Crossref]
  • 16. Bloch HM, Thornton JR, Heaton KW : Effects of fasting on the composition on gall-bladder bile. Gut 1980; 21: 1087-89. [PubMed][Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2014-0021
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