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Lorio E. et al., 2020: Management of Hepatolithiasis: Review of the Literature

Lorio E, Patel P, Rosenkranz L, Patel S, Sayana H.
Department of Internal Medicine, UT Health San Antonio - Long School of Medicine, San Antonio, TX, 78229-3900, USA.
Division of Gastroenterology & Nutrition, Department of Medicine, UT Health San Antonio - Long School of Medicine, MC 7878, 7703 Floyd Curl Dr., San Antonio, TX, 78229-3900, USA.
Division of Gastroenterology & Nutrition, Department of Medicine, UT Health San Antonio - Long School of Medicine, MC 7878, 7703 Floyd Curl Dr., San Antonio, TX, 78229-3900, USA.

Abstract

Purpose of review: Hepatolithiasis is a disease characterized by intrahepatic stone formation. In this article, we review the features of this disease and explore the established and emerging treatment modalities.

Recent findings: Recent reports show an increasing prevalence of hepatolithiasis, likely owed to increased immigration and shifts in the Western diet. New pharmacotherapy options are limited and are often only supportive. Endoscopic intervention still cruxes on removal of impacted stones, though new techniques such as bile duct exploratory lithotomy and lithotripsy continue to advance management. Although hepatectomy of the effected portion of the liver offers definitive therapy, alternative less invasive modalities such as combined endoscopic/interventional radiology modalities have been utilized in select patients. Additionally, liver transplant serves as an option for otherwise incurable hepatolithiasis with coexisting liver dysfunction. Multiple emerging pharmacologic and procedural interventions may provide novel treatment for hepatolithiasis. While definitive therapy remains resection of affected liver segments, these modalities offer hope for less invasive approaches in the future.

Curr Gastroenterol Rep. 2020 May 7;22(6):30. doi: 10.1007/s11894-020-00765-3. PMID: 32383039

 

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Commentaires 1

Peter Alken le vendredi 16 octobre 2020 08:30

This is a review on a relatively rare disease. It just briefly mentions ESWL as a not so effective procedure among the various difficult therapeutic modalities.

Peter Alken

This is a review on a relatively rare disease. It just briefly mentions ESWL as a not so effective procedure among the various difficult therapeutic modalities. Peter Alken
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vendredi 30 octobre 2020

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