Korean J Gastroenterol.  1997 Jun;29(6):797-804.

Gallbladder Dysmotility in Gastrectomized Patients

• Rhim HK
• Park KN
• Lee MH
• Hahm JS
• Park JY
• Kwon SJ

Abstract

BACKGROUND/AIMS: To evaluate whether gastric resection is a predisposing condition in the formation of gallstone.
METHODS
Gallbladder motility after gastrectomy was studied by means of measuring fasting and postprandial gallbladder volume using real time ultrasonography 46 gastrec- tomized patients and 37 healthy controls were selected as study subjects.
RESULTS
Mean fasting and postprandial gallbladder volume was significantly increased in gastrectomized subjects(FV 30.20+ 13.86 mL, PV 17.215.82 mL) than healthy control group(FV 12.58 6.53mL PV 4.28+3.29 mL, p (0.01). The ejection fraction of gallbladder in gastrectomized subjects(56.93+ 13.0%) was signifi- cantly smaller than healthy control group(75.5316.1%, p (0.01). Gallbladder ejection fraction was slightly increased correlated with post operative date(r=0.232).
CONCLUSIONS
Gastrectorny may increase the risk of gallstone disease by inducing gallbladder dysmotility and bile stasis. Gallbladder motility evaluation in high risk group of gallstone disease would be helpful for prevention and understanding gallstone formation.

Keyword

Gallbladder rnotility; Gastrectomy; Gallstone

MeSH Terms

Bile
Fasting
Gallbladder*
Gallstones
Gastrectomy
Humans
Ultrasonography