| Title: | Ali holecistektomija vpliva na Oddijev sfinkter in ampulo papile Vateri? |
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| Authors: | ID Skalicky, Marjan (Author) |
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| Files: |  http://www.dlib.si/details/URN:NBN:SI:doc-1MA0D6CG
 02.pdf (4,54 MB)
MD5: FD7DFF43CC2D74F4CEFA1C177F07763C
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| Language: | English |
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| Work type: | Scientific work |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: | MF - Faculty of Medicine
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| Abstract: | Purpose: About 20-50% of cholecystectomized patients complain of dyspeptic problems after gallstone surgery. I hypothesized that some of these problems do not arise from primary gallbladder disease, but are due to problems of duodenal origin. Methods: I examined 80 patients using endoscopic ultrasound (EUS) before gallstone surgery (AOP). I repeated the examination 3 months (POP3) and 6 months (POP6) after the surgery. Fifty patients who underwent surgery were symptomatic; 30 were asymptomatic. In all patients, an analysis of the papilla of Vater (PV) was carried out with a special focus on the visibility of the sphincter of Oddi complex (SOC) and the ampulla of papilla (AP). Results: The visibility of the SOC was significant in the measurements AOP/POP3 (p<0.05). The comparison POP3/POP6 (p<0.001) was also significant. The behavior pattern of the AP (AOP/POP3, POP3/POP6, AOP/POP6) in various measurements was not significant (p>0.05). The linear percentage increase of non-visible AP (76%, 78%, and 80%) indicated different changes in the mechanism with respect to visibility of the SOC; 52% (AOP), 72% (POP3) and 50% (POP6). Conclusions: These data showed that cholecystectomy affected the visibility of the SOC. The AP, with its embryological and histological disposition based on a duodenal pattern (SOC is based on a biliary pattern), showed non-significant linear trends of increased non-visibility. |
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| Keywords: | papila Vateri, sfinkter Oddi, holecistektomija, endoskopski ultrazvok |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Publication date: | 01.01.2011 |
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| Publisher: | Medicinska fakulteta |
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| Year of publishing: | 2011 |
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| Number of pages: | str. 24-33 |
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| Numbering: | Letn. 4, št. 1 |
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| PID: | 20.500.12556/DKUM-52317-fbdd2501-d3f9-2c5b-9a07-2511d31f39ab  |
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| UDC: | 616.366-003.7-072.16 |
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| ISSN on article: | 1855-5640 |
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| COBISS.SI-ID: | 512121144 |
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| NUK URN: | URN:SI:UM:DK:CSX0HZKY |
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| Publication date in DKUM: | 10.07.2015 |
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| Views: | 2846 |
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| Downloads: | 99 |
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| Metadata: |    |
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| Categories: | Misc.
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