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Clinical features of hepatolithiasis: analyses of multicenter-based surveys in Japan
BACKGROUND: Hepatolithiasis is a calculus disease of the liver with no known cause that is relatively uncommon, and is characterized by a refractory nature and high frequency of recurrence. Hepatolithiasis is one of the diseases listed by the Ministry of Health, Labour and Welfare of Japan under Res...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609120/ https://www.ncbi.nlm.nih.gov/pubmed/26475606 http://dx.doi.org/10.1186/s12944-015-0130-2 |
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author | Tazuma, Susumu Nakanuma, Yasuni |
author_facet | Tazuma, Susumu Nakanuma, Yasuni |
author_sort | Tazuma, Susumu |
collection | PubMed |
description | BACKGROUND: Hepatolithiasis is a calculus disease of the liver with no known cause that is relatively uncommon, and is characterized by a refractory nature and high frequency of recurrence. Hepatolithiasis is one of the diseases listed by the Ministry of Health, Labour and Welfare of Japan under Research on Intractable Diseases, and it requires further research on the pathogenesis as well as the therapeutic strategy. It is also included in the clinical guidelines for cholelithiasis of the Japanese Society of Gastroenterology, which suggest guiding principles for the treatment of hepatolithiasis. METHODS: we performed questionnaire surveys of hepatolithiasis twice in 2010 and in 2012. Verification of the evidence-based clinical practice guidelines a questionnaire survey of 22 facilities in 2010 and 25 facilities in 2012 across Japan that provided cooperation, which enabled us to assess 210 new cases over a two-year period. CONCLUSIONS: Comparison with two surveys that have been carried out previously revealed the main factor associated with hepatolithiasis was a history of biliary tract surgery, which was noted in the majority of cases. In addition, there was an increase of patients in whom balloon endoscopy was performed using transduodenal approach. This method is not included in the treatment options of the current clinical guidelines for cholelithiasis, so there may be a need to take it into consideration when the guidelines are revised. |
format | Online Article Text |
id | pubmed-4609120 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-46091202015-10-18 Clinical features of hepatolithiasis: analyses of multicenter-based surveys in Japan Tazuma, Susumu Nakanuma, Yasuni Lipids Health Dis Short Report BACKGROUND: Hepatolithiasis is a calculus disease of the liver with no known cause that is relatively uncommon, and is characterized by a refractory nature and high frequency of recurrence. Hepatolithiasis is one of the diseases listed by the Ministry of Health, Labour and Welfare of Japan under Research on Intractable Diseases, and it requires further research on the pathogenesis as well as the therapeutic strategy. It is also included in the clinical guidelines for cholelithiasis of the Japanese Society of Gastroenterology, which suggest guiding principles for the treatment of hepatolithiasis. METHODS: we performed questionnaire surveys of hepatolithiasis twice in 2010 and in 2012. Verification of the evidence-based clinical practice guidelines a questionnaire survey of 22 facilities in 2010 and 25 facilities in 2012 across Japan that provided cooperation, which enabled us to assess 210 new cases over a two-year period. CONCLUSIONS: Comparison with two surveys that have been carried out previously revealed the main factor associated with hepatolithiasis was a history of biliary tract surgery, which was noted in the majority of cases. In addition, there was an increase of patients in whom balloon endoscopy was performed using transduodenal approach. This method is not included in the treatment options of the current clinical guidelines for cholelithiasis, so there may be a need to take it into consideration when the guidelines are revised. BioMed Central 2015-10-17 /pmc/articles/PMC4609120/ /pubmed/26475606 http://dx.doi.org/10.1186/s12944-015-0130-2 Text en © Tazuma and Nakanuma. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Short Report Tazuma, Susumu Nakanuma, Yasuni Clinical features of hepatolithiasis: analyses of multicenter-based surveys in Japan |
title | Clinical features of hepatolithiasis: analyses of multicenter-based surveys in Japan |
title_full | Clinical features of hepatolithiasis: analyses of multicenter-based surveys in Japan |
title_fullStr | Clinical features of hepatolithiasis: analyses of multicenter-based surveys in Japan |
title_full_unstemmed | Clinical features of hepatolithiasis: analyses of multicenter-based surveys in Japan |
title_short | Clinical features of hepatolithiasis: analyses of multicenter-based surveys in Japan |
title_sort | clinical features of hepatolithiasis: analyses of multicenter-based surveys in japan |
topic | Short Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609120/ https://www.ncbi.nlm.nih.gov/pubmed/26475606 http://dx.doi.org/10.1186/s12944-015-0130-2 |
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