Bile semolina
Bile semolina is a viscous thickening of the bile that contains very small gall stones (approx. 0.5–1 mm, depending on the definition even up to 3 mm). It is also known as (biliary) microlithiasis or biliary sludge .
In sonography of the gallbladder, the bile semolina presents a characteristic picture and can be viewed as a preliminary stage of gallstone formation, even if it can recede spontaneously. It can also be deposited in the bile ducts , especially in the common bile duct in front of the sphincter muscle ( major duodenal papilla ) at the mouth, and narrow or block it. In this case, an ERCP can be useful. Another treatment option is drug dissolution through oral administration of ursodeoxycholic acid (UDCA).
literature
- M. Frey, D. Criblez: Cholecystolithiasis. In: Switzerland Med Forum. No. 32/33, August 15, 2001 ( PDF , 229 kB ).
- Christine Stanull: The clinical significance of biliary microlithiasis - prospective study to assess the clinic and therapy. Dissertation, 2003 (PDF, 310 kB).
Individual evidence
- ↑ M. Frey, D. Criblez: Cholezystolithiasis. In: Switzerland Med Forum. No. 32/33, August 15, 2001 ( PDF , 229 kB ).
- ↑ Christine Stanull: The clinical significance of biliary microlithiasis - prospective study to assess the clinic and therapy. Dissertation, 2003.
- ↑ Christine Stanull: The clinical significance of biliary microlithiasis - prospective study to assess the clinic and therapy. Dissertation, 2003, p. 41.