PubMed · 12071021
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J C Paquet. 2002. [Shouldice].. https://pubmed.ncbi.nlm.nih.gov/12071021/
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On 27 February 1989 the Nederlandse Vereniging voor Gastro-Intestinale Chirurgie [Netherlands Association for Gastrointestinal Surgery] was founded. The aim--improvement of quality by integrating scientific and clinical work--was already formulated 10 years previously by the Gastrointestinal Surgery Working Group. The integration proceeded carefully; the Netherlands Association for Gastrointestinal Surgery began as a chapter of the Association of Surgeons in the Netherlands and as a working group within the Dutch Gastroenterology Association. Meanwhile new techniques have been investigated and introduced and surgical oncology is a growing area of collaboration with the Dutch Association for Surgical Oncology. In the future minimally invasive interventions and robot surgery will come to the fore, reflux disease and inflammatory bowel diseases will decrease as an operative indication and early diagnosis will play a greater role.
Polycystic liver disease is a congenital disorder with an autosomal dominant pattern of inheritance. There are two variants. In one, liver cysts occur as an extra-renal phenomenon in autosomal dominant polycystic kidney disease. In the other, the disease is not associated with renal pathology. The cysts have to reach a certain diameter before becoming clinically manifest and therefore are generally only detected many years after birth. Polycystic liver disease causes symptoms in 20% of the patients. These symptoms are the consequence of the weight and size of the liver or of complications such as abscess formation, obstructive jaundice or the Budd-Chiari syndrome. Most symptoms can be treated at least temporarily by fenestration of the larger cysts and resection of parts of the liver, which are affected by large groups of small cysts. A permanent cure of the disease is only obtained by liver transplantation.
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