Abstract
One hundred and eight patients with ileostomies were investigated for cholelithiasis at routine annual review in a large Ileostomy Clinic. Gallstones were demonstrated in 24-5%, which is three times the incidence that might have been expected in a population of this age and sex distribution. The frequency of cholelithiasis was significantly increased in those patients who had lost more than 10 cm of ileum at operation, regardless of whether the primary condition had been ulcerative colitis or Crohn's disease. It was significantly increased in those patients who had had a resection of less than 10 cm of ileum if the original condition had been Crohn's disease, but not if it had been colitis.
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- BAKER H. L., Jr, HODGSON J. R. Further studies on the accuracy of oral cholecystography. Radiology. 1960 Feb;74:239–245. doi: 10.1148/74.2.239. [DOI] [PubMed] [Google Scholar]
- Cohen S., Kpplan M., Gottlieb L., Patterson J. Liver disease and gallstones in regional enteritis. Gastroenterology. 1971 Feb;60(2):237–245. [PubMed] [Google Scholar]
- Dowling R. H., Bell G. D., White J. Lithogenic bile in patients with ileal dysfunction. Gut. 1972 Jun;13(6):415–420. doi: 10.1136/gut.13.6.415. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Heaton K. W., Read A. E. Gall stones in patients with disorders of the terminal ileum and disturbed bile salt metabolism. Br Med J. 1969 Aug 30;3(5669):494–496. doi: 10.1136/bmj.3.5669.494. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MAINLAND D. The risk of fallacious conclusions from autopsy data on the incidence of diseases with applications to heart disease. Am Heart J. 1953 May;45(5):644–654. doi: 10.1016/0002-8703(53)90306-8. [DOI] [PubMed] [Google Scholar]
- Mekhjian H. S., Phillips S. F. Perfusion of the canine colon with unconjugated bile acids. Effect on water and electrolyte transport, morphology, and bile acid absorption. Gastroenterology. 1970 Jul;59(1):120–129. [PubMed] [Google Scholar]
- Morris J. S., Heaton K. W., Read A. E. Absorption of bile acids by the colon. Gut. 1970 Dec;11(12):1063–1063. [PubMed] [Google Scholar]
- Percy-Robb I. W., Jalan K. N., McManus J. P., Sircus W. Effect of ileal resection on bile salt metabolism in patients with ileostomy following proctocolectomy. Clin Sci. 1971 Nov;41(5):371–382. doi: 10.1042/cs0410371. [DOI] [PubMed] [Google Scholar]
- Ritchie J. K. Ulcerative colitis treated by ileostomy and excisional surgery. Fifteen years' experience at St. Mark's Hospital. Br J Surg. 1972 May;59(5):345–351. doi: 10.1002/bjs.1800590504. [DOI] [PubMed] [Google Scholar]
- Sternby N. H. Atherosclerosis in a defined population. An autopsy survey in Malmö, Sweden. Acta Pathol Microbiol Scand. 1968;(Suppl):5+–5+. [PubMed] [Google Scholar]
- TORVIK A., HOIVIK B. Gallstones in an autopsy series. Incidence, complications, and correlations with carcinoma of the gallbladder. Acta Chir Scand. 1960 Nov 25;120:168–174. [PubMed] [Google Scholar]
- Zahor A., Sternby N. H., Kagan A., Uemura K., Vanecek R., Vichert A. M. Frequency of cholelithiasis in Prague and Malmö. An autopsy study. Scand J Gastroenterol. 1974;9(1):3–7. [PubMed] [Google Scholar]