Research Article
BibTex RIS Cite

Investigation of Amyloid Accumulation in Postoperative Gallbladder Material

Year 2025, Volume: 14 Issue: 2, 79 - 83, 29.08.2025
https://doi.org/10.47493/abantmedj.1673424

Abstract

Objective: Amyloid deposition in the gallbladder and biliary tract is a relatively underexplored area in the medical literature. The frequency of amyloid deposition in gallbladders after cholecystectomy remains unclear. The present study aims to address this gap in knowledge by investigating amyloid deposition in postoperative gallbladder materials.
Materials and Methods: The study comprised adult patients over the age of 18 who had undergone cholecystectomy for gallstones. Tissue samples taken from the fundus, corpus, and neck regions of the postoperative gallbladder were cut into 5-micron thicknesses for routine examination, stained with hematoxylin-eosin, and then stained with Congo red to search for amyloid deposits under a polarized light.
Results: The study involved 100 patients (57 females, 43 males). The average age of female patients was 46.49 ± 16.20 years, and for male patients, it was 49.58 ± 14.91 years. No amyloid deposition was observed in any gallbladder tissue sample.
Conclusion: It was concluded that it is not necessary to look for amyloid deposits in gallbladder material after cholecystectomy, regardless of the patient's age, gender, concomitant diseases, duration and composition of gallstones.

References

  • Gutt C, Schläfer S, Lammert F. The Treatment of Gallstone Disease. Dtsch Arztebl Int. 2020 Feb 28;117(9):148-158.
  • Mikhaleva LM, Mikhalev AI, Shapovaliants SG, Vasyukova OA, Budzinskiy SA, Pechnikova VV, et al. Severe complications of chronic cholelithiasis treatment. Am J Emerg Med. 2021 Oct;48:374.e5-374.e12.
  • Lee JY, Keane MG, Pereira S. Diagnosis and treatment of gallstone disease. Practitioner. 2015 Jun;259(1783):15-9, 2.
  • Halldestam I, Enell EL, Kullman E, Borch K. Development of symptoms and complications in individuals with asymptomatic gallstones. Br J Surg. 2004 Jun;91(6):734-8.
  • Latenstein CSS, Hannink G, van der Bilt JDW, Donkervoort SC, Eijsbouts QAJ, Heisterkamp J,et al; SECURE trial collaborators. A Clinical Decision Tool for Selection of Patients With Symptomatic Cholelithiasis for Cholecystectomy Based on Reduction of Pain and a Pain-Free State Following Surgery. JAMA Surg. 2021 Oct 1;156(10):e213706.
  • Lamberts MP, Lugtenberg M, Rovers MM, Roukema AJ, Drenth JP, Westert GP, et al. Persistent and de novo symptoms after cholecystectomy: a systematic review of cholecystectomy effectiveness. Surg Endosc. 2013 Mar;27(3):709-18.
  • Rodríguez Jornet A, Mate G, Badal JM. Colecistitis aguda alitiásica en amiloidosis [Acute acalculous cholecystitis in amyloidosis]. Med Clin (Barc). 1988 Jun 4;91(2):78-9.
  • Remy AJ, Perney P, Bourat L, Ramos J, Marty M, Cabaniols H, et al. Amylose de la vésicule biliaire. Une localisation exceptionnelle [Amyloidosis of the gallbladder. An unusual localization]. Gastroenterol Clin Biol. 1995 Feb;19(2):215-7.
  • Kwon AH, Tsuji K, Yamada H, Okazaki K, Sakaida N. Amyloidosis of the gallbladder mimicking gallbladder cancer. J Gastroenterol. 2007 Mar;42(3):261-4.
  • Denève E, Ramos J, Perrochia H, Nocca D, Schved JF, Fabre JM. Cholécystite hémorragique aiguë sévère secondaire á une amylose vésiculaire [Severe acute haemorrhagic cholecystitis due to amyloidosis of the gallbladder]. Gastroenterol Clin Biol. 2008 Apr;32(4):426-9.
  • Tirotta D, Durante V. Uncommon localization of amyloidosis in gallbladder: description of a case and brief literature review. Ann Hepatol. 2011 Apr-Jun;10(2):227-32.
  • Matsuda S, Nishikata M, Takai K, Motoyoshi T, Yamashita Y, Kirishima T, et al. An Unusual Case of Acute Cholecystitis with Amyloidosis: A Case Report and Literature Review. Intern Med. 2019 Mar 15;58(6):803-807.
  • Clough J, Shah R. Primary Amyloidosis Presenting as Common Bile Duct Obstruction With Cholangitis. ACG Case Rep J. 2015 Jan 16;2(2):107-9.
  • Maury CP. Comparative study of serum amyloid A protein and C-reactive protein in disease. Clin Sci (Lond). 1985 Feb;68(2):233-8.
  • Targońska-Stępniak B, Majdan M. Serum amyloid A as a marker of persistent inflammation and an indicator of cardiovascular and renal involvement in patients with rheumatoid arthritis. Mediators Inflamm. 2014;2014:793628.
  • Bustamante JG, Zaidi SRH. Amyloidosis. 2023 Jul 31. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 29261990.
  • Yakupova EI, Bobyleva LG, Vikhlyantsev IM, Bobylev AG. Congo Red and amyloids: history and relationship. Biosci Rep. 2019 Jan 15;39(1):BSR20181415
  • Sack GH Jr. Serum Amyloid A (SAA) Proteins. Subcell Biochem. 2020;94:421-436.
  • Shaffer EA. Gallstone disease: Epidemiology of gallbladder stone disease. Best Pract Res Clin Gastroenterol. 2006;20(6):981-96
  • Tazuma S. Gallstone disease: Epidemiology, pathogenesis, and classification of biliary stones (common bile duct and intrahepatic). Best Pract Res Clin Gastroenterol. 2006;20(6):1075-83.
  • Bass G, Gilani SN, Walsh TN. Validating the 5Fs mnemonic for cholelithiasis: time to include family history. Postgrad Med J. 2013 Nov;89(1057):638-41.

Year 2025, Volume: 14 Issue: 2, 79 - 83, 29.08.2025
https://doi.org/10.47493/abantmedj.1673424

Abstract

References

  • Gutt C, Schläfer S, Lammert F. The Treatment of Gallstone Disease. Dtsch Arztebl Int. 2020 Feb 28;117(9):148-158.
  • Mikhaleva LM, Mikhalev AI, Shapovaliants SG, Vasyukova OA, Budzinskiy SA, Pechnikova VV, et al. Severe complications of chronic cholelithiasis treatment. Am J Emerg Med. 2021 Oct;48:374.e5-374.e12.
  • Lee JY, Keane MG, Pereira S. Diagnosis and treatment of gallstone disease. Practitioner. 2015 Jun;259(1783):15-9, 2.
  • Halldestam I, Enell EL, Kullman E, Borch K. Development of symptoms and complications in individuals with asymptomatic gallstones. Br J Surg. 2004 Jun;91(6):734-8.
  • Latenstein CSS, Hannink G, van der Bilt JDW, Donkervoort SC, Eijsbouts QAJ, Heisterkamp J,et al; SECURE trial collaborators. A Clinical Decision Tool for Selection of Patients With Symptomatic Cholelithiasis for Cholecystectomy Based on Reduction of Pain and a Pain-Free State Following Surgery. JAMA Surg. 2021 Oct 1;156(10):e213706.
  • Lamberts MP, Lugtenberg M, Rovers MM, Roukema AJ, Drenth JP, Westert GP, et al. Persistent and de novo symptoms after cholecystectomy: a systematic review of cholecystectomy effectiveness. Surg Endosc. 2013 Mar;27(3):709-18.
  • Rodríguez Jornet A, Mate G, Badal JM. Colecistitis aguda alitiásica en amiloidosis [Acute acalculous cholecystitis in amyloidosis]. Med Clin (Barc). 1988 Jun 4;91(2):78-9.
  • Remy AJ, Perney P, Bourat L, Ramos J, Marty M, Cabaniols H, et al. Amylose de la vésicule biliaire. Une localisation exceptionnelle [Amyloidosis of the gallbladder. An unusual localization]. Gastroenterol Clin Biol. 1995 Feb;19(2):215-7.
  • Kwon AH, Tsuji K, Yamada H, Okazaki K, Sakaida N. Amyloidosis of the gallbladder mimicking gallbladder cancer. J Gastroenterol. 2007 Mar;42(3):261-4.
  • Denève E, Ramos J, Perrochia H, Nocca D, Schved JF, Fabre JM. Cholécystite hémorragique aiguë sévère secondaire á une amylose vésiculaire [Severe acute haemorrhagic cholecystitis due to amyloidosis of the gallbladder]. Gastroenterol Clin Biol. 2008 Apr;32(4):426-9.
  • Tirotta D, Durante V. Uncommon localization of amyloidosis in gallbladder: description of a case and brief literature review. Ann Hepatol. 2011 Apr-Jun;10(2):227-32.
  • Matsuda S, Nishikata M, Takai K, Motoyoshi T, Yamashita Y, Kirishima T, et al. An Unusual Case of Acute Cholecystitis with Amyloidosis: A Case Report and Literature Review. Intern Med. 2019 Mar 15;58(6):803-807.
  • Clough J, Shah R. Primary Amyloidosis Presenting as Common Bile Duct Obstruction With Cholangitis. ACG Case Rep J. 2015 Jan 16;2(2):107-9.
  • Maury CP. Comparative study of serum amyloid A protein and C-reactive protein in disease. Clin Sci (Lond). 1985 Feb;68(2):233-8.
  • Targońska-Stępniak B, Majdan M. Serum amyloid A as a marker of persistent inflammation and an indicator of cardiovascular and renal involvement in patients with rheumatoid arthritis. Mediators Inflamm. 2014;2014:793628.
  • Bustamante JG, Zaidi SRH. Amyloidosis. 2023 Jul 31. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 29261990.
  • Yakupova EI, Bobyleva LG, Vikhlyantsev IM, Bobylev AG. Congo Red and amyloids: history and relationship. Biosci Rep. 2019 Jan 15;39(1):BSR20181415
  • Sack GH Jr. Serum Amyloid A (SAA) Proteins. Subcell Biochem. 2020;94:421-436.
  • Shaffer EA. Gallstone disease: Epidemiology of gallbladder stone disease. Best Pract Res Clin Gastroenterol. 2006;20(6):981-96
  • Tazuma S. Gallstone disease: Epidemiology, pathogenesis, and classification of biliary stones (common bile duct and intrahepatic). Best Pract Res Clin Gastroenterol. 2006;20(6):1075-83.
  • Bass G, Gilani SN, Walsh TN. Validating the 5Fs mnemonic for cholelithiasis: time to include family history. Postgrad Med J. 2013 Nov;89(1057):638-41.
There are 21 citations in total.

Details

Primary Language English
Subjects Gastroenterology and Hepatology
Journal Section Research Articles
Authors

Ali Osman Avcı 0000-0002-5849-5988

Emre Akarsu 0000-0001-6280-8425

Hesna Müzeyyen Astarcı 0000-0002-6553-4500

Early Pub Date August 21, 2025
Publication Date August 29, 2025
Submission Date April 10, 2025
Acceptance Date June 12, 2025
Published in Issue Year 2025 Volume: 14 Issue: 2

Cite

APA Avcı, A. O., Akarsu, E., & Astarcı, H. M. (2025). Investigation of Amyloid Accumulation in Postoperative Gallbladder Material. Abant Medical Journal, 14(2), 79-83. https://doi.org/10.47493/abantmedj.1673424
AMA Avcı AO, Akarsu E, Astarcı HM. Investigation of Amyloid Accumulation in Postoperative Gallbladder Material. Abant Med J. August 2025;14(2):79-83. doi:10.47493/abantmedj.1673424
Chicago Avcı, Ali Osman, Emre Akarsu, and Hesna Müzeyyen Astarcı. “Investigation of Amyloid Accumulation in Postoperative Gallbladder Material”. Abant Medical Journal 14, no. 2 (August 2025): 79-83. https://doi.org/10.47493/abantmedj.1673424.
EndNote Avcı AO, Akarsu E, Astarcı HM (August 1, 2025) Investigation of Amyloid Accumulation in Postoperative Gallbladder Material. Abant Medical Journal 14 2 79–83.
IEEE A. O. Avcı, E. Akarsu, and H. M. Astarcı, “Investigation of Amyloid Accumulation in Postoperative Gallbladder Material”, Abant Med J, vol. 14, no. 2, pp. 79–83, 2025, doi: 10.47493/abantmedj.1673424.
ISNAD Avcı, Ali Osman et al. “Investigation of Amyloid Accumulation in Postoperative Gallbladder Material”. Abant Medical Journal 14/2 (August2025), 79-83. https://doi.org/10.47493/abantmedj.1673424.
JAMA Avcı AO, Akarsu E, Astarcı HM. Investigation of Amyloid Accumulation in Postoperative Gallbladder Material. Abant Med J. 2025;14:79–83.
MLA Avcı, Ali Osman et al. “Investigation of Amyloid Accumulation in Postoperative Gallbladder Material”. Abant Medical Journal, vol. 14, no. 2, 2025, pp. 79-83, doi:10.47493/abantmedj.1673424.
Vancouver Avcı AO, Akarsu E, Astarcı HM. Investigation of Amyloid Accumulation in Postoperative Gallbladder Material. Abant Med J. 2025;14(2):79-83.