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Titolo:
Prevalence of biliary lithiasis in a Sicilian population of hemodialysis patients
Autore:
Li Vecchi, M; Cesare, S; Soresi, M; Arnone, S; Renda, F; Di Natale, E; Figliola, C; Li Vecchi, V; Carroccio, A; Montalto, G;
Indirizzi:
Univ Palermo, Cattedra Nefrol, Ist Clin Med & Malattie Cardiovasc, I-90127Palermo, Italy Univ Palermo Palermo Italy I-90127 tie Cardiovasc, I-90127Palermo, Italy Ctr Diagnost & Terapeut Malattie Renali, Palermo, Italy Ctr Diagnost & Terapeut Malattie Renali Palermo Italy i, Palermo, Italy
Titolo Testata:
CLINICAL NEPHROLOGY
fascicolo: 2, volume: 55, anno: 2001,
pagine: 127 - 132
SICI:
0301-0430(200102)55:2<127:POBLIA>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
STAGE RENAL-DISEASE; GALLSTONE DISEASE; DANISH POPULATION; DIALYSIS PATIENTS; CHOLELITHIASIS; CHOLESTEROL; FAILURE; WEIGHT;
Keywords:
biliary lithiasis; hemodialysis; epidemiology;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Li Vecchi, M Univ Palermo, Cattedra Nefrol, Ist Clin Med & Malattie Cardiovasc, Via Vespro 129, I-90127 Palermo, Italy Univ Palermo Via Vespro 129 Palermo Italy I-90127 rmo, Italy
Citazione:
M. Li Vecchi et al., "Prevalence of biliary lithiasis in a Sicilian population of hemodialysis patients", CLIN NEPHR, 55(2), 2001, pp. 127-132

Abstract

Studies performed to date on the prevalence of biliary lithiasis (BL) in chronic renal failure patients on hemodialysis. (HD) have given contradictory results. The aims of the present study were to evaluate the prevalence ofBL and its main associated risk factors in a population of hemodialysis patients, and to compare the results with those we had obtained previously inan overt population of the same zone. The study included 171 patients (83 M, 88 F), mean age 62.5 years and mean duration of dialysis 66.7 months. The screening protocol also included body mass index (BMI), a number of biochemical parameters and an ultrasound scan of the gallbladder and biliary tract. The general prevalence of BL was 33.3% (30.1% in men and 36.4% in women), and this figure was significantly higher than that found in our previousstudy. Prevalence increased with age in both sexes (Mantel-Haenszel Chi-squared = 5.4, p < 0.03), but not with duration of dialysis. The main risk factors, evaluated with multiple logisstic regression, were the presence of diabetes mellitus and high serum phosphorus levels. Specific symptoms were also significantly associated in BL patients. No association was found with parity, BMI or serum lipid alterations. In conclusion, the prevalence of BLin a Sicilian population of HD patients was higher than that found in an overt population of the same area and the associated main risk factors were not coincident. Further studies are needed to establish the role played by the phase of end-stage renal disease before HD and to correct the metabolicdisturbances to limit a high percentage of morbidity in a disease already in itself sufficiently disabling.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 08/04/20 alle ore 11:38:57