Chronic complications of symptomatic gallstone disease, such as Mirizzi syndrome, are rare in Western developed countries with an incidence of less than 1% a year. The importance and implications of this condition are...Chronic complications of symptomatic gallstone disease, such as Mirizzi syndrome, are rare in Western developed countries with an incidence of less than 1% a year. The importance and implications of this condition are related to their associated and potentially serious surgical complications such as bile duct injury, and to its modern management when encountered during laparoscopic cholecystectomy. The pathophysiological process leading to the subtypes of Mirizzi syndrome has been explained by means of a pressure ulcer caused by an impacted gallstone at the gallbladder infundibulum, leading to an inflammatory response causing first external obstruction of the bile duct, and eventually eroding into the bile duct and evolving to a cholecystocholedochal or cholecystohepatic fistula. This article reviews the life of Pablo Luis Mirizzi, describes the earlier and later descriptions of Mirizzi syndrome, discusses the pathophysiological process leading to the development of these uncommon fistulas, reviews the current diagnostic modalities and surgical approaches and finally proposes a simplified classification for Mirizzi syndrome intended to standardize the reports on this condition and to eventually develop a consensual surgical approach to this unexpected and seriously dangerous condition.展开更多
Purpose To observe the effect of acupuncturing different points on unstable bladder.Method Fifty-one patients of unstable bladder were divided randomly into Shu-point group, Mu-point group, He-point group, observe the...Purpose To observe the effect of acupuncturing different points on unstable bladder.Method Fifty-one patients of unstable bladder were divided randomly into Shu-point group, Mu-point group, He-point group, observe the change of symptom score and urodynamics.Results Puncturing these points can improve the symptom score and urodynamics, but the different points can get different effect, and the effect of Shu-point and He-point is superior to that of Mu-point.Conclusion The different points of bladder have different adjusting function and that function relates with nerves locating in points. Key words Urodynamics - Acupuncture Therapy - Bladder Disease - Syndrome Founhdation Item: Clinical Study and Neural Receptor Mechanism of Lumbosacral acupoints Regulating Unstable Bladder (02CK02), supported by the Education Committee of Shanghai City.Translator: CHEN Yue-lai展开更多
文摘Chronic complications of symptomatic gallstone disease, such as Mirizzi syndrome, are rare in Western developed countries with an incidence of less than 1% a year. The importance and implications of this condition are related to their associated and potentially serious surgical complications such as bile duct injury, and to its modern management when encountered during laparoscopic cholecystectomy. The pathophysiological process leading to the subtypes of Mirizzi syndrome has been explained by means of a pressure ulcer caused by an impacted gallstone at the gallbladder infundibulum, leading to an inflammatory response causing first external obstruction of the bile duct, and eventually eroding into the bile duct and evolving to a cholecystocholedochal or cholecystohepatic fistula. This article reviews the life of Pablo Luis Mirizzi, describes the earlier and later descriptions of Mirizzi syndrome, discusses the pathophysiological process leading to the development of these uncommon fistulas, reviews the current diagnostic modalities and surgical approaches and finally proposes a simplified classification for Mirizzi syndrome intended to standardize the reports on this condition and to eventually develop a consensual surgical approach to this unexpected and seriously dangerous condition.
基金Clinical Study and Neural Receptor Mechanism of Lumbosacral acupoints Regulating Unstable Bladder，上海市教委资助项目
文摘Purpose To observe the effect of acupuncturing different points on unstable bladder.Method Fifty-one patients of unstable bladder were divided randomly into Shu-point group, Mu-point group, He-point group, observe the change of symptom score and urodynamics.Results Puncturing these points can improve the symptom score and urodynamics, but the different points can get different effect, and the effect of Shu-point and He-point is superior to that of Mu-point.Conclusion The different points of bladder have different adjusting function and that function relates with nerves locating in points. Key words Urodynamics - Acupuncture Therapy - Bladder Disease - Syndrome Founhdation Item: Clinical Study and Neural Receptor Mechanism of Lumbosacral acupoints Regulating Unstable Bladder (02CK02), supported by the Education Committee of Shanghai City.Translator: CHEN Yue-lai
