Wang ZC, Zhang N, Chen WG, Zheng Y. Clinical features of cirrhosis with gallstones: Analysis of 105 cases.
Shijie Huaren Xiaohua Zazhi 2015;
23:1308-1313. [DOI:
10.11569/wcjd.v23.i8.1308]
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Abstract
AIM: To investigate the prevalence of and risk factors for gallstones in a large series of patients with cirrhosis.
METHODS: Clinical data for 492 patients with liver cirrhosis treated at the First Affiliated Hospital of Shihezi University from January 2009 to January 2013 were retrospectively analyzed. Of these patients, 105 with gallbladder stones comprised an observation group, and 387 without gallbladder stones were included in a control group. A normal control group consisting of 412 healthy volunteers was also included. Clinical characteristics and possible risk factors were compared between different groups.
RESULTS: The incidence of gallstones in patients with cirrhosis was 21.3%, significantly higher than that in the general population (5.6%). Univariate analysis showed significant differences between the observation group and the control group with regard to Child-Pugh class, direct bilirubin, apolipoprotein A, high density lipoprotein, and triglycerides (P < 0.05).
CONCLUSION: In cirrhosis patients, Child-Pugh classification, direct bilirubin, apolipoprotein A, high density lipoprotein, and triglyceride levels are risk factors for gallstones.
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