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Decreased postprandial gallbladder emptying in patients with black pigment stones

World Journal of Gastroenterology 2008年第18期14卷 2825-2831页

作者： Takakazu Sugo Kenichi Hakamada Shunji Narumi Mutsuo Sasaki Department of Gastroenterological Surgery Hirosaki University Graduate School of Medicine 5 Zaifu-cho Hirosaki 036-8562 Japan

AIM: To analyze gallbladder contractility in patients with black pigment stones (BPSs) and to compare this with patients with cholesterol stones (CSs) and healthy volunteers. METHODS: The pattern of bile evacuation from the gallbladder was quantified by computer cholescintigraphy in 28 normal subjects, 22 patients with CSs and 14 with BPSs. The parameters of gallbladder contractility included ejection period (EP), ejection fraction (EF) and ejection rate (ER). RESULTS: A significantly shorter EP was observed in patients with BPSs in comparison to those with CSs (t = 2.4, P gallbladder was observed, EF and ER of either CS or BPS patients showed a significant reduction. CONCLUSION: Bile evacuation from the gallbladder is reduced in patients with BPSs, in comparison to those with CSs and to healthy volunteers. Bile stagnation due to impaired gallbladder kinetics seems to be one of the predisposing factors for the development of BPSs.

关键词： Black pigment stone Cholescintigraphy gallbladder emptying Ejection period Ejection fraction Ejection rate

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Classification of hepatobiliary scintigraphy patterns in segmented gallbladder according to anatomical discordance

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World Journal of Clinical Cases 2023年第11期11卷 2423-2434页

作者： Yun-Chae Lee Won-Sik Jung Chang-Hun Lee Seong-Hun Kim Seung-Ok Lee Division of Gastroenterology Department of Internal MedicineJeonbuk National University Medical SchoolJeonju 54907JeonbukSouth Korea Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital Jeonju 54907JeonbukSouth Korea

BACKGROUND Hepatobiliary scintigraphy(HBS)is a useful diagnostic imaging technique that uses radiotracers to evaluate the function of the gallbladder(GB)and biliary *** segmented GB,some HBS images reveal a discordant GB boundary as compared to anatomical *** To evaluate the characteristics of HBS in segmented GB and determine the clinical relevance according to HBS *** A total of 268 patients with chronic cholecystitis,gallstones,or biliary colic symptoms who underwent HBS between 2011 and 2020 were *** GB was defined as segmental luminal narrowing of the GB body on computed tomography(CT)or magnetic resonance(MR)images,and HBS was examined 1 mo before or after CT or *** GB was classified into 3 types based on the filling and emptying patterns of the proximal and distal segments according to the characteristics of HBS images,and GB ejection fraction(GBEF)was identified:Type 1 was defined as a normal filling and emptying pattern;Type 2 was defined as an emptying defect on the distal segment;and Type 3 was defined as a filling defect in the distal *** Segmented GB accounted for 63 cases(23.5%),including 36 patients(57.1%)with Type 1,18 patients(28.6%)with Type 2,and 9 patients(14.3%)with Type 3 emptying ***,approximately 43%of HBS images showed a discordant pattern as compared to anatomical imaging of segmented *** there were no significant differences in clinical symptoms,rate of cholecystectomy,or pathological findings based on the type,most gallstones occurred in the distal *** GBEF was 62.50%±24.79%for Type 1,75.89%±17.21%for Type 2,and 88.56%±7.20%for Type *** 1 showed no difference in reported GBEF compared to the non-segmented GB group(62.50%±24.79%vs 67.40%±21.78%).In contrast,the reported GBEF was higher in Types 2 and 3 with defective emptying and filling when compared to Type 1(80.11%±15.70%vs 62.57%±24.79%;P=0.001).CONCLUSION In segmented GB,discordance i

关键词： gallbladder Segmented gallbladder emptying Radionuclide imaging Misdiagnosis Cholecystitis

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Ursodeoxycholic acid improves gastrointestinal motility defects in gallstone patients

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World Journal of Gastroenterology 2006年第33期12卷 5336-5343页

作者： A Colecchia G Mazzella L Sandri F Azzaroli M Magliuolo P Simoni ML Bacchi-Reggiani E Roda D Festi Department of Internal Medicine and Gastroenterology University of Bologna Bologna Italy Department of Pharmaceutical Sciences University of Bologna Bologna Italy Department of Cardiovascular Diseases University of Bologna Bologna Italy

AIM: To simultaneously evaluate the presence of defects in gallbladder and gastric emptying, as well as in intestinal transit in gallstone patients (GS) and the effect of chronic ursodeoxycholic acid (UDCA) administration on these parameters and on serum bile acids and clinical outcome in GS and controls (CTR). METHODS: After a standard liquid test meal, gallbla-dder and gastric emptying (by ultrasound), oroileal transit time (OITT) (by an immunoenzymatic technique) and serum bile acids (by HPLC) were evaluated before and after 3 mo of UDCA (12 mg/kg bw/d) or placebo administration in 10 symptomatic GS and 10 matched healthy CTR. RESULTS: OITT was longer in GS than in CTR (P emptying time (t1/2) than CTR (P emptying and intestinal transit in both GS and CTR. CONCLUSION: The gallstone patient has simultaneous multiple impairments of gallbladder and gastric emptying, as well as of intestinal transit. UDCA administration restores these defects in GS, without any effect in CTR. These results confirm the pathogenetic role of gastrointestinal motility in gallstone disease and suggest an additional mechanism of action for UDCA in reducing bile cholesterol supersaturation.

关键词： Bile acids Biliary cholesterol Deoxycholic acid gallbladder emptying Gastric emptying Intestinaltransit Tauroursodeoxycholic acid

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