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[PMID]: 25568551
[Au] Autor:Milicevic S; Bijelic R; Jakovljevic B; Krivokuca M; Krivokuca V
[Ad] Address:Urology Clinic, Clinical Center of Banjaluka, Bosnia and Herzegovina....
[Ti] Title:Correlation of serum and ionized calcium in patients with calcium nephrolithiasis.
[So] Source:Med Arch;68(4):272-5, 2014 Aug.
[Is] ISSN:0350-199X
[Cp] Country of publication:Bosnia and Hercegovina
[La] Language:eng
[Ab] Abstract:INTRODUCTION: Pathogenesis of kidney stones includes many factors, whereas uroliths, as a generic term for kidney stones, are of a different composition. In pathogenesis of calcium urolithiasis hypercalcemia/hypercalciuria takes a significant place. Hypercalcemia exists when the serum calcium is of increased values, along with measurement and calculation of physiologically active calcium, when there are differences in the Ph of the blood or albumin. GOAL: the goal of this research is to determine the correlation of values of the serum (CaS) and ionized calcium (Ca++) in patients with the calcium nephrolithiasis, whom have been established not to have hyperparathyroidism and malign diseases. MATERIAL AND METHODS: the research was prospective and implemented at the Clinical Center in Banja Luka, at the Urology Clinic, in the period between 1(st) April 2012 - 1(st) January 2013 and it included 120 patients with the calcium lithiasis of the upper part of the urinary tract, divided into three age categories. Diagnosis of the calcium lithiasis of the upper part of the urinary tract was established on the basis of the ultrasonography of the urinary tract as well as native urinary tract/intravenous urography and chemical analysis of the stone in patients with spontaneous stone emission or after some of the methods for active removal of the stone. Chemical laboratory analysis of the serum and ionized calcium was done for all the patients, with 3ml of blood being taken for establishing the aforementioned parameters (1-2 ml of the serum) in vacuumed test tubes or glass tubes of capillary blood. Increased parathormone values (PHT) and history of malignity were excluding factors. RESULTS: out of the 120 patients observed, Cs(S) had the value in the reference interval with most of them, that is, in 110 patients (91.7%). Those, whose value was out of the interval, are of an older age (all above 40). Average value of this parameter amounted to 2.3017, with an average difference (the standard deviation) of 0.11391. Observing the value of Ca++, the value within the reference interval was found in 106 patients (88.3%). Out of the remaining 14 patients, only two simultaneously had the value of Ca(S) out of the permitted interval. The majority of this group consisted of older patients (a half of those whose values were outside the interval was over 60). Average value of Ca++ amounted to 1.22 mmol/L with an average difference of 0.06454. In the 2 aforementioned patients, who simultaneously had increased values of CaS and Ca++, the blood Ph was within the referential value limits, which suggests that, in line with the hyporcalcemia definition, only 2 patients with nephrolithiasis, in the total sample of 120 patients of our research sample, could have had a true hypercalcemia. CONCLUSION: the biggest number of patients with the calcium urolithiasis, who do not have hyperparathyroidism and history of malign diseases, do not have a real hypercalcemia.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1501
[Cu] Class update date: 150113
[Lr] Last revision date:150113
[Js] Journal subset:IM
[St] Status:In-Data-Review
[do] DOI:10.5455/medarh.2014.68.272-275

  2 / 5781 MEDLINE  
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[PMID]: 25568625
[Au] Autor:Prstojevic JK; Junuzovic D; Hasanbegovic M; Lepara Z; Selimovic M
[Ad] Address:Urology clinic, Clinical center of Sarajevo University, Bosnia and Herzegovina....
[Ti] Title:Characteristics of calculi in the urinary tract.
[So] Source:Mater Sociomed;26(5):297-302, 2014 Oct.
[Is] ISSN:1512-7680
[Cp] Country of publication:Bosnia and Hercegovina
[La] Language:eng
[Ab] Abstract:INTRODUCTION: Elimination of stone is determined by size and its localization. Stone from the ureter in 80% of cases can be eliminated spontaneously. If the stone by its characteristics is not spontaneously eliminated, taken are further steps and therapeutic protocols to solve this problem. MATERIAL AND METHODS: The study was prospective, open and comparative. It was conducted at the Urology Clinic Clinical Center of Sarajevo University in the period from 2007 to 2013. The study included 404 patients with urinary tract lithiasis treated by ESWL. ESWL treatment is performed on the machine Siemens Model Lithostar Multiline, which has a combined ultrasonographic and fluoroscopic display, large energy density in order to obtain optimum focus (without damaging surrounding tissue) and minimal pain that on rare occasions requires for mild sedation-sedation. RESULTS: From a total of 404 patients included in the study there were 234 (57.92%) male and 170 (42.08%) female patients. The most common type of stone both in female and male patients was calcium type. From a total of 262 calcium stones, 105 of them (40.07%) was present in female patients and 157 (59.92%) in male. Share of infectious type of stone in female patients was 63 (49.60%) and 64 among males (50.39%). Other stones were less abundant in both the gender groups and their total number was only 17. In women their frequency was 2 (13.33%) and 13 among males (86.67%). There was a significant difference in the frequency of different types of stones by gender (χ2 = 11.47, p = 0.009). CONCLUSION: There was no statistically significant correlation between the number of treatments and localization of stones in the ureter, as well as a statistically significant correlation between the size of the stone and the localization of calculus in the ureter.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1501
[Cu] Class update date: 150113
[Lr] Last revision date:150113
[Da] Date of entry for processing:150108
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.5455/msm.2014.26.297-302

  3 / 5781 MEDLINE  
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[PMID]: 25568579
[Au] Autor:Junuzovic D; Prstojevic JK; Hasanbegovic M; Lepara Z
[Ad] Address:Urology clinic, Clinical center of Sarajevo University, Bosnia and Herzegovina....
[Ti] Title:Evaluation of Extracorporeal Shock Wave Lithotripsy (ESWL): Efficacy in Treatment of Urinary System Stones.
[So] Source:Acta Inform Med;22(5):309-14, 2014 Oct.
[Is] ISSN:0353-8109
[Cp] Country of publication:Bosnia and Hercegovina
[La] Language:eng
[Ab] Abstract:INTRODUCTION: Elimination of stone is determined by size and its localization. Stone from the ureter in 80% of cases can be eliminated spontaneously. If the stone by its characteristics is not spontaneously eliminated, taken are further steps and therapeutic protocols to solve this problem. MATERIAL AND METHODS: The study was prospective, open and comparative. It was conducted at the Urology Clinic Clinical Center of Sarajevo University in the period from 2007 to 2013. The study included 404 patients with urinary tract lithiasis treated by ESWL. ESWL treatment is performed on the machine Siemens Model Lithostar Multiline, which has a combined ultrasonographic and fluoroscopic display, large energy density in order to obtain optimum focus (without damaging surrounding tissue) and minimal pain that on rare occasions requires for mild sedation-sedation. RESULTS: From a total of 404 patients included in the study there were 234 (57.92%) male and 170 (42.08%) female patients. The most common type of stone both in female and male patients was calcium type. From a total of 262 calcium stones, 105 of them (40.07%) was present in female patients and 157 (59.92%) in male. Share of infectious type of stone in female patients was 63 (49.60%) and 64 among males (50.39%). Other stones were less abundant in both the gender groups and their total number was only 17. In women their frequency was 2 (13.33%) and 13 among males (86.67%). There was a significant difference in the frequency of different types of stones by gender (x2 = 11.47, p = 0.009). CONCLUSION: There was no statistically significant correlation between the number of treatments and localization of stones in the ureter, as well as a statistically significant correlation between the size of the stone and the localization of calculus in the ureter.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1501
[Cu] Class update date: 150113
[Lr] Last revision date:150113
[Da] Date of entry for processing:150108
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.5455/aim.2014.22.309-314

  4 / 5781 MEDLINE  
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[PMID]: 25375751
[Au] Autor:Schiappacasse G; Aguirre J; Soffia P; Silva CS; Zilleruelo N
[Ad] Address:1 Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.
[Ti] Title:CT findings of the main pathological conditions associated with horseshoe kidneys.
[So] Source:Br J Radiol;88(1045):20140456, 2015 Jan.
[Is] ISSN:1748-880X
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Horseshoe kidney (HSK) is the most common renal fusion anomaly, with a prevalence of 0.25% among the general population. It consists of kidney fusion across the midline. HSK can be present as an isolated condition in 30%, but there is a wide variety of associated abnormalities. The most frequent include ureteropelvic obstruction, lithiasis and infections. There is also a higher risk of kidney lesions in trauma and an increased incidence of malignancies. Awareness of embryology and anatomy is essential to assess and understand the complications affecting HSK. CT is an excellent method for identification of its main findings.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1412
[Cu] Class update date: 150113
[Lr] Last revision date:150113
[Js] Journal subset:AIM; IM
[St] Status:In-Data-Review
[do] DOI:10.1259/bjr.20140456

  5 / 5781 MEDLINE  
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[PMID]: 24456910
[Au] Autor:Khonsari RH; Bertolus C; Corre P; Chaine A; Guerre A; Ménégaud F; Goudot P
[Ad] Address:Service de chirurgie maxillo-faciale et stomatologie, CHU Pitié-Salpêtrière, université Pierre-et-Marie-Curie Paris 06, 75006 Paris, France. Electronic address: roman.khonsari@gmail.com....
[Ti] Title:Tuméfaction submandibulaire quatre ans après thyroïdectomie totale. [Submandibular swelling four years after total thyroidectomy].
[So] Source:Rev Stomatol Chir Maxillofac Chir Orale;115(2):118-20, 2014 Apr.
[Is] ISSN:2213-6541
[Cp] Country of publication:France
[La] Language:fre
[Ab] Abstract:INTRODUCTION: Submandibular swelling most frequently involves the submandibular gland. It is often due to lithiasis or to tumor. Some rare cases of submandibular swelling have been reported such as submandibular localizations of thyroid lesions. Our case study concerns one of these rare occurrences. OBSERVATION: A 47-year-old female patient consulted for a right-sided submandibular mass progressively increasing in size during the previous 2 years. The patient had undergone a total thyroidectomy, 4 years before consulting, for a toxic multinodular goiter THAT had been treated by L-thyroxin replacement therapy per os since the surgery. TSH and LT4 levels were normal. A CT scan revealed a large tumor in the right submandibular space with heterogeneous contrast. Fine needle cytopuncture allowed observing follicular cellules suggesting thyroid origin. The cervicotomy confirmed the diagnosis of an ectopic goiter. DISCUSSION: Thyroid disorders may in rare cases concern the submandibular space. A history of thyroid disorders should be taken into account for the etiological diagnosis of unusual submandibular masses in maxillo-facial surgery.
[Mh] MeSH terms primary: Edema/etiology
Postoperative Complications/diagnosis
Salivary Gland Diseases/etiology
Submandibular Gland/pathology
Thyroidectomy/adverse effects
[Mh] MeSH terms secundary: Edema/pathology
Female
Goiter, Nodular/surgery
Humans
Middle Aged
Salivary Gland Diseases/diagnosis
Time Factors
[Pt] Publication type:CASE REPORTS; ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1501
[Js] Journal subset:D; IM
[Da] Date of entry for processing:140407
[St] Status:MEDLINE

  6 / 5781 MEDLINE  
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[PMID]: 25420859
[Au] Autor:Mamarelis G; Vernadakis S; Moris D; Altanis N; Perdikouli M; Stravodimos K; Pappas P; Zavos G
[Ad] Address:Transplantation Unit, "Laikon" General Hospital, Athens, Greece. Electronic address: george.mamarelis@hotmail.com....
[Ti] Title:Lithiasis of the renal allograft, a rare urological complication following renal transplantation: a single-center experience of 2,045 renal transplantations.
[So] Source:Transplant Proc;46(9):3203-5, 2014 Nov.
[Is] ISSN:1873-2623
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND AND PURPOSE: Urinary lithiasis represents an unusual urologic complication in renal transplantation, with an incidence of 0.17%-1.8%.We present our experience with renal graft lithiasis in our series of renal transplantations. MATERIAL AND METHODS: We reviewed the medical records for 2045 patients who underwent kidney transplantation from January 1983 to July 2013. Among the grafts, 9 patients were found to have allograft lithiasis. In 6 cases, the calculi were localized within the renal unit, and in 3 cases in the ureter. Two of the patients had relapsed after a few years from the first treatment. In both of them the stones were localized again in the ureter. RESULTS: In our series, incidence of graft lithiasis was 0.44% (n = 9). Three of the 9 patients (33.3%) were treated via percutaneous nephrolithotripsy (PCNL), 3 (33.3%) underwent extracorporeal shockwave lithotripsy (ESWL), 2 (22.2%) passed their stones spontaneously, and 1 (11.1%) underwent PCNL after 2 failed ESWL interventions. All patients are currently stone free but still remain under close urologic surveillance. CONCLUSIONS: Urinary stone formation can lead to significant morbidity and graft loss. The treatment options should be similar to those for patients in the general population. Long-term follow-up is substantial to determine the outcome and to prevent the recurrence.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1411
[Js] Journal subset:IM
[St] Status:In-Process

  7 / 5781 MEDLINE  
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[PMID]: 24678871
[Au] Autor:Chandravanshi SL
[Ad] Address:Department of Ophthalmology, Shyam Shah Medical College , Rewa, MP , India.
[Ti] Title:Spontaneous expulsion of lacrimal gland ductule stones by eyelid squeezing: a rare event.
[So] Source:Orbit;33(3):223-5, 2014 Jun.
[Is] ISSN:1744-5108
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:PURPOSE: To report a rare case of lacrimal gland ductule stones. METHODS: Case report. RESULTS: A 12-year-old female patient presented with pain, redness and swelling in the superotemporal fornix of the left eye of 1-week duration. She had experienced four similar episodes over a period of 2 years. Clinical evaluation revealed a mass adjacent to the lacrimal gland and some stone edges protruding through the lacrimal gland ductules. During preparation for their mechanical removal, a spontaneous expulsion of stones occurred. Microbiological examination of stones did not show any microorganism or nidus such as cilia. Fourier transform infrared spectroscopy revealed the stones to be composed of calcium carbonate 90% and magnesium hydrogen phosphates 10%. After spontaneous expulsion, the condition subsided without any complications. CONCLUSION: Lacrimal gland stones represent a very rare clinical entity and this should be considered in the differential diagnosis of recurrent nonspecific conjunctivitis and dacryoadenitis.
[Mh] MeSH terms primary: Eyelids
Lacrimal Apparatus Diseases/therapy
Lithiasis/therapy
Rare Diseases/therapy
[Mh] MeSH terms secundary: Child
Dacryocystitis/diagnosis
Diagnosis, Differential
Female
Humans
Lacrimal Apparatus Diseases/diagnosis
Lithiasis/diagnosis
Pressure
Rare Diseases/diagnosis
Remission, Spontaneous
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1501
[Js] Journal subset:IM
[Da] Date of entry for processing:140507
[St] Status:MEDLINE
[do] DOI:10.3109/01676830.2014.894538

  8 / 5781 MEDLINE  
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[PMID]: 25408751
[Au] Autor:Iorgulescu A; Turcu F; Iordache N
[Ad] Address:General Surgery Clinic, "Sf. Ioan" Hospital, Bucharest.
[Ti] Title:ERCP after bariatric surgery--literature review and case report.
[So] Source:J Med Life;7(3):339-42, 2014 Sep 15.
[Is] ISSN:1844-3117
[Cp] Country of publication:Romania
[La] Language:eng
[Ab] Abstract:Obesity is a disease which has become more prevalent in Romania. Bariatric surgical procedures are among the treatment options for obese patients. Obesity and the metabolic disorders induced by it are risk factors for gallstones formation and their complications. ERCP is a minimally invasive therapeutic procedure indicated in the treatment of choledochal lithiasis and its complications. ERCP is generally considered the most difficult endoscopic procedure from the technical point of view. The authors have proposed to consider the possibility of performing therapeutic ERCP in patients who have undergone bariatric procedures. Literature data are reviewed and the case of a patient treated in a minimally invasive (laparoendoscopic) way for cholecyst and choledocholithiasis after longitudinal gastrectomy is presented.
[Pt] Publication type:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Entry month:1411
[Cu] Class update date: 150106
[Lr] Last revision date:150106
[Js] Journal subset:IM
[St] Status:In-Process

  9 / 5781 MEDLINE  
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[PMID]: 25409068
[Au] Autor:Massinha P; Nunes N; Liberal R; Ávila F; Santos V; Rego A; Pereira JR; Paz N; Duarte MA
[Ad] Address:Hospital do Divino Espírito Santo de Ponta Delgada, Department of Gastroenterology, Ponta Delgada, Portugal....
[Ti] Title:Usefulness of direct peroral cholangioscopy in the management of intrahepatic lithiasis.
[So] Source:Endoscopy;46 Suppl 1 UCTN:E553, 2014.
[Is] ISSN:1438-8812
[Cp] Country of publication:Germany
[La] Language:eng
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1411
[Js] Journal subset:IM
[St] Status:In-Process
[do] DOI:10.1055/s-0034-1377952

  10 / 5781 MEDLINE  
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[PMID]: 24866598
[Au] Autor:Mira Moreno A; Montoya Lirola MD; García Tabar PJ; Galiano Baena JF; Tenza Tenza JA; Lobato Encinas JJ
[Ad] Address:Department of Urology, General Hospital University of Alicante, Alicante, Spain. Electronic address: ale_mimo@hotmail.com....
[Ti] Title:Incidence of infectious complications after extracorporeal shock wave lithotripsy in patients without associated risk factors.
[So] Source:J Urol;192(5):1446-9, 2014 Nov.
[Is] ISSN:1527-3792
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:PURPOSE: We determined the incidence of infectious complications (asymptomatic bacteriuria, urinary tract infection and urosepsis) in patients without associated risk factors treated with extracorporeal shock wave lithotripsy. MATERIALS AND METHODS: We performed an observational, prospective cohort study between October 2010 and June 2013. We included all patients without risk factors who were treated with extracorporeal shock wave lithotripsy for kidney or ureteral lithiasis. All patients underwent urine culture 5 days before the procedure. Another urine culture was performed 7 days after lithotripsy. No patient received antibiotics. RESULTS: Initially 366 patients with a mean ± SD age of 53 ± 13 years were enrolled in the study. A total of 64 patients (17.5%) underwent extracorporeal shock wave lithotripsy with a previously placed Double-J® stent. After lithotripsy urine culture was positive in 20 patients (5.8%), of whom 4 (1.2%) presented with symptomatic urinary infection and the remaining 4.6% showed no symptoms. Urosepsis did not develop in any case. In our study patient age was an independent risk factor for bacteriuria after lithotripsy. CONCLUSIONS: The incidence of infectious complications after extracorporeal shock wave lithotripsy in patients without risk factors is low. This leads us to conclude that without defined risk factors antibiotic prophylaxis is not justified. Also, elderly patients were more at risk for bacteriuria after extracorporeal shock wave lithotripsy and, thus, for a possible infectious complication.
[Mh] MeSH terms primary: Lithotripsy/adverse effects
Risk Assessment
Ureteral Calculi/therapy
Urinary Tract Infections/epidemiology
[Mh] MeSH terms secundary: Female
Follow-Up Studies
Humans
Incidence
Male
Middle Aged
Prospective Studies
Risk Factors
Spain/epidemiology
Urinalysis
Urinary Tract Infections/etiology
Urinary Tract Infections/urine
[Pt] Publication type:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Entry month:1501
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:141017
[St] Status:MEDLINE


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