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KMID : 0357919860200020157
Korean Journal of Pathology
1986 Volume.20 No. 2 p.157 ~ p.164
Classification of Gallstones and their Characteristics



Abstract
Total 481 cases of gallstones from Korean patients operated at Keimyung University
Dongsan Hospital during the last 6 years were classified by macroscopic view according
to the classification of Sato, et al and reviewed with a special reference to age, sex, and
kinds and sites of gallstones.
Gallstones were present predominatly in the age of 50-60 years, the average 52. Sex
ratio (M:F) was nearly equal, being 1:1.05. Gallbladder was the most frequent site,
comprising 53.2%, followed by common bile duct, 23.3% and intrahepatic location, 3.7%,
Macroscopic classification revealed pigment gallstones in 53.0% (calcium bilirubinate,
41.8%; black, 11.2%): cholesterol gallstones in 36.2%, of which mixed stone being 33.1%.
Cholesterol gallstones occurred predominantly in 50-60 years of age with a prediletion
to females. On the contrary, elderly persons more than 60 years of age had calciu
bilirubinate stones. No sex difference was found in the calcium bilirubinate stones.
Eighty-six percent of cholesterol gallstones were present in the gallbladder only.
Common bile duct stones were mostly composed of pigment gallstones in 80.4%.
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