血液学疾病和胆囊结石之间的关系:当前证据综述。

IF 1.7 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY
Zhi-Jie Qu, Yu-Ning Wang, Ya-Hui Liu, Rui-Heng Duan
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引用次数: 0

摘要

胆囊结石是一种常见的胆道疾病,其病因包括代谢、遗传和环境因素。新出现的证据表明,血液系统疾病,特别是溶血或红细胞功能受损的血液系统疾病,可能在胆囊结石(主要是色素结石)的形成中起重要作用。本文综述了血液学疾病,如溶血性贫血、骨髓增生性疾病和恶性血液学疾病与胆囊结石发生的病理生理机制。我们还研究了血液学治疗,如输血和化疗,对胆结石风险的影响。此外,本文还讨论了血液系统疾病患者胆囊结石的临床意义,包括诊断挑战、管理策略和手术注意事项。通过对现有知识的全面概述,本综述旨在强调进一步研究血液学疾病与胆囊结石之间相互作用的必要性,从而潜在地改善这些患者群体的预防和治疗策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between hematological disorders and gallbladder stones: A review of current evidence.

Gallbladder stones, a prevalent biliary tract disease, have multifactorial etiologies including metabolic, genetic, and environmental factors. Emerging evidence suggests that hematological disorders, particularly those involving hemolysis or impaired erythropoiesis, may play a significant role in the formation of gallbladder stones, predominantly pigment stones. This review explores the pathophysiological mechanisms linking hematological disorders, such as hemolytic anemias, myeloproliferative disorders, and hematological malignancies, with gallbladder stone development. We also examine the influence of treatments for hematological conditions, such as blood transfusions and chemotherapy, on gallstone risk. Additionally, this article discusses the clinical implications of gallbladder stones in patients with hematological disorders, including diagnostic challenges, management strategies, and surgical considerations. By providing a comprehensive overview of current knowledge, this review aims to highlight the need for further research into the interplay between hematological disorders and gallbladder stones, potentially improving preventive and therapeutic strategies in these patient populations.

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