Sakai Y, Tsuyuguchi T, Ohyama H, Kumagai J, Kaiho T, Ohtsuka M, Kato N, Sakai T. Natural history of asymptomatic gallbladder stones in clinic without beds: A long-term prognosis over 10 years. World J Clin Cases 2024; 12(1): 42-50 [PMID: 38292642 DOI: 10.12998/wjcc.v12.i1.42]
Corresponding Author of This Article
Yuji Sakai, MD, PhD, Doctor, Department of Gastroenterology, Sakai Clinic, 9-18-8 Minamikoyasu, Kimistu 299-1162, Japan. sakai4754@yahoo.co.jp
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Clin Cases. Jan 6, 2024; 12(1): 42-50 Published online Jan 6, 2024. doi: 10.12998/wjcc.v12.i1.42
Table 1 Patient characteristics
Characteristic
Value
Number of patients
237
Male
123
Female
114
Age in yr
47.675 ± 15.625 (20-78)
Gallbladder stone
Number of stones
2.318 ± 3.500 (1-20)
Size in mm
7.343 ± 4.298 (1-22)
UDCA
68
Hypertension
125
Hyperlipidemia
119
Diabetes mellitus
110
Cerebrovascular disease
42
Chronic respiratory disease
37
Cardiac disease
28
Chronic liver disease
35
Chronic renal disease
42
Malignant disease
10
Table 2 Biliary complications noted during the observation period
Biliary complication
Value
Biliary event
23
Acute cholecystitis
14
Acute cholangitis
5
Obstructive jaundice
2
Gallstone pancreatitis
2
Table 3 Comparison of the groups with and without biliary complications
Characteristic
No symptom, n = 214
Biliary event, n = 23
P value
Male
108
15
0.1951
Female
106
8
0.1951
Gallstone
Number ≤ 2
3
20
< 0.0010
Diameter < 10 mm
3
20
< 0.0010
UDCA
66
2
0.0277
Hypertension
115
10
0.6653
Hyperlipidemia
108
11
0.8293
Diabetes mellitus
102
8
0.5078
Cerebrovascular disease
36
6
0.1111
Chronic respiratory disease
33
4
0.5384
Cardiac disease
26
2
1.0000
Chronic liver disease
32
3
1.0000
Chronic renal disease
36
6
0.1111
Malignant disease
9
1
1.0000
Table 4 Causes of deaths during the observation period
Causes of deaths
n
Total number
11
Lung cancer
4
Cerebral infarction
3
Acute myocardial infarction
2
Gastric cancer
1
Colorectal cancer
1
Citation: Sakai Y, Tsuyuguchi T, Ohyama H, Kumagai J, Kaiho T, Ohtsuka M, Kato N, Sakai T. Natural history of asymptomatic gallbladder stones in clinic without beds: A long-term prognosis over 10 years. World J Clin Cases 2024; 12(1): 42-50