Biliary microlithiasis

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Biliary microlithiasis refers to the creation of small gallstones less than 3 mm in diameter in the biliary duct or gallbladder.

It has been suggested{{cite journal |pmid=18577477 | doi=10.1016/j.gie.2007.09.046 | volume=68 | issue=1 | title=Ursodeoxycholic acid treatment for patients with postcholecystectomy pain and bile microlithiasis. | date=Jul 2008 | journal=Gastrointest Endosc | pages=69–74| last1=Okoro | first1=Ngozi | last2=Patel | first2=Amil | last3=Goldstein | first3=Marney | last4=Narahari | first4=Naveen | last5=Cai | first5=Qiang }} as a cause of postcholecystectomy syndrome, or PCS, the symptoms of which include:

  • Upset stomach, nausea, and vomiting.
  • Gas, bloating, and diarrhea.
  • Persistent pain in the upper right abdomen.{{cite journal |author=Womack NA, Crider RL |title=The Persistence of Symptoms Following Cholecystectomy |journal=Ann. Surg. |volume=126 |issue=1 |pages=31–55 |year=1947 |pmid=17858976 |pmc=1803303 |doi= 10.1097/00000658-194707000-00004 }}

Diagnostics

  • Biliary Microlithiasis may be detectable by ultrasound using a Rapid Patient Rotation Ultrasound Protocol{{Cite web |url=http://biliarymicrolithiasis.com/ |title=Biliary Microlithiasis |access-date=25 February 2014 |archive-date=16 May 2014 |archive-url=https://web.archive.org/web/20140516222626/http://biliarymicrolithiasis.com/ |url-status=dead }}
  • Analysis of biliary sludge obtained through endoscopic retrograde cholangiopancreatography (ERCP)

Treatment

See also

References