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Determination of gallstone components in 39 patients in ًُُEgyptian hospitals : a study of 300 stones to assess amenability to non-operative treatment
Other Title(s)
تحديد مكونات حصوة في 39 مريضا في المستشفيات المصرية : دراسة من 300 حصوة لتقييم قابليته للعلاج غير الجراحي
Joint Authors
Dasuqi, Nizar R.
Saeed, Jamal
Kensarah, Ahmad
Source
Journal of the Arab Board of Health Specializations
Issue
Vol. 8, Issue 4 (31 Dec. 2006)8 p.
Publisher
The Arab Board of Health Specializations
Publication Date
2006-12-31
Country of Publication
Syria
No. of Pages
8
Main Subjects
Topics
Abstract AR
خلفية و هدف الدراسة : إن المكونات الكيماوية للحصيات المرارية تحدد إمكانية المعالجة غير الجراحية.
و هذا يتعلق بالبيئة، و حتى الآن، هذه المعلومات غير متوفرة للمرضى من منطقتنا.
تهدف الدراسة لتحديد مكونات الحصيات المرارية عند 39 مريضا من مصر. طريقة الدراسة : أجري تصنيف لـ 300 حصية مرارية أخذت من مرض يعيشون في مصر، عولجوا في المستشفى التعليمي لجامعة القاهرة.
تم تصنيف الحصيات حسب درجة القساوة.
قسمت كل حصاة و صقلت و حفظت في محلول ملحي.
درست المتثابتات الميكانيكية، ثم حللت الحصيات من الناحية الكيماوية لتحديد المكونات من الكوليسترول و الكلس و البيليروبين.
ثم تحري المكونات المعدنية بالأشعة السينية. النتائج : كان 39 / 35 مريضا من الإناث، و كان وسطي الأعمار 45.9 عاما.
وجدت حصاة واحدة عند 64.1% من المرضى، و حصيات متعددة عند 35.9% من المرضى.
كانت الحصيات قاسية عند 13 مريضا و طرية عند 26 مريضا مع وسطي ثقل نوعي.
Abstract EN
Objective : The chemical composition of gallstones determines amenability to non-surgical treatment.
It is related to environment, and, to date, this information is not available for patients living in the Middle East.
The purpose of this study was to determine gallstone composition in a group of 39 patients living in Egypt. Methods : Three hundred gallstone samples from patients living in Egypt and treated at Cairo University Teaching Hospital were classified as soft, intermediate, or hard.
Each was cut, polished, preserved, and stored in saline.
Mechanical parameters were studied, and the stones were then analyzed chemically in order to determine cholesterol, calcium and bilirubin content.
Trace metals and elements were determined by particle induced x-ray emission. Results:Thirty five of the 39 patients were females; the mean age was 45.9 years; there was a single stone in 64.1%; and stones were multiple in 35.9%.
Stones were hard in 13 patients and soft in 26, with a mean specific gravity of 0.86 (range 0.69-1.67).
The percentage share for the three major components was cholesterol 70.8 (43- 88), bilirubin 29.5 (10-66), and calcium 2.27 (0.02-7.5).
The mean percentage for other elements was: carbon 76.2, hydrogen 10.49, nitrogen 0.51 and sulphur 1.33.
Trace metals elements were as foll Conclusions:Our patients are good candidates for non-surgical treatment.
In the light of the unique chemical composition of their stones, ESWL is the best.
Oral dissolution requires a long treatment time.
Contact dissolution has no place.
Apart from calcium, the concentration of basic elements and metals is of no value for planning treatment.
American Psychological Association (APA)
Saeed, Jamal& Dasuqi, Nizar R.& Kensarah, Ahmad. 2006. Determination of gallstone components in 39 patients in ًُُEgyptian hospitals : a study of 300 stones to assess amenability to non-operative treatment. Journal of the Arab Board of Health Specializations،Vol. 8, no. 4.
https://search.emarefa.net/detail/BIM-139182
Modern Language Association (MLA)
Saeed, Jamal…[et al.]. Determination of gallstone components in 39 patients in ًُُEgyptian hospitals : a study of 300 stones to assess amenability to non-operative treatment. Journal of the Arab Board of Health Specializations Vol. 8, no. 4(December 2006).
https://search.emarefa.net/detail/BIM-139182
American Medical Association (AMA)
Saeed, Jamal& Dasuqi, Nizar R.& Kensarah, Ahmad. Determination of gallstone components in 39 patients in ًُُEgyptian hospitals : a study of 300 stones to assess amenability to non-operative treatment. Journal of the Arab Board of Health Specializations. 2006. Vol. 8, no. 4.
https://search.emarefa.net/detail/BIM-139182
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-139182