Journals / Meandros Medical And Dental Journal / 2000 / Volume: 1 Issue: 3

Ultrasonographic Evaluation Of Gall Bladder Function In Patients With The Irritable Bowel Syndrome

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Publication Date
2000-12-01
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⚡ TL;DR(Too Long; Didn't Read)

However, a significant difference between postprandial volumes of patients versus controls may support the hypothesis that gall bladder function can be affected in irritable bowel syndrome.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Colon is not the only organ affected by the irritable bowel syndrome.
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Key Findings & Data:Material and method: This prospective study was conducted between February and June 1999.
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Conclusion & Impact:However, a significant difference between postprandial volumes of patients versus controls may support the hypothesis that gall bladder function can be affected in irritable bowel syndrome.
🔬Design:Article
📍Scope:Comprehensive Sample
⚙️Variables:Irritable bowel syndrome · gall bladder function · ultrasonography

Abstract

Objective: Colon is not the only organ affected by the irritable bowel syndrome. Oesophagus, stomach and even urinary bladder may also be involved. The cause of the alteration of motility is not apperent, but nowadays, autonomic nervous system disorders and abnormal release of the cholecystokinin are blamed for this disorder. Material and method: This prospective study was conducted between February and June 1999. The study population was composed of 28 irritable bowel syndrome patients ( 5 men, 23 women; average age 43 ± 11,8 years) and 20 healthy subjects (13 men, 7 women; average age 29,8 ± 10,5 years). The patient group was selected according to Manning's criteria for irritable bowel syndrome. Patients who described jaundice, biliary colic or gastrointestinal surgery were excluded. After clinical examination, patients were evaluated with ultrasonography following a 10 hour fasting period. Gall bladder volume, thickness of the wall and the diameter of the bile duct were measured. Same measurements were repeated 45 minutes after a fatty meal. Ejection fraction of the gall bladder was calculated from the fasting and postprandial volumes. Results: There was no statistically significant difference between the two groups in terms of wall thickness, bile duct diameter and ejection fraction. A statistically significant difference was found between the postprandial volumes of the patient and control groups. Conclusion: In this study, no statistically significant difference was observed for ejection fraction. However, a significant difference between postprandial volumes of patients versus controls may support the hypothesis that gall bladder function can be affected in irritable bowel syndrome.

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Cite This Article

Ünsal, A., Akdilli, A., Karaoğlu, A. Ö., Kök, F., Dayanır, Y. Ö., Karaman, C. Z. (2000). Ultrasonographic Evaluation Of Gall Bladder Function In Patients With The Irritable Bowel Syndrome. Meandros Medical And Dental Journal, Volume: 1 Issue: 3. https://ajindex.com/articles/1291478

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References (23)

  1. Olden KW, Schuster MM. Ýrritable bowel syndrome. Gastrointestinal and liver disease. Feldman M, Scharschmidt BF, Sleisinger MH, WB Saunders Comp. Pennsylvania. 1999; V 2: 1536-48.
  2. Switz DM. What the gastroenterologist does everyday. Gastroenterology 1976;70:1048-50.
  3. Thompson WG. The irritable bowel. Gut 1984;26:305- 20.
  4. Cann PA, Read NW, Brown C, Hobson N, Holdsworth CD. Ýrritable bowel syndrome: Relationship of disorders in the transit of a single meal to symptom patterns. Gut 1983;24:405-11.
  5. Whorwell PJ, Clouter C, Smith CL. Oesophageal motility in the irritable bowel syndrome. Br Med J 1981;1:1101-3.
  6. Snape WJ, Carlson GM, Matarazzo SA, Cohen S. Evidence that abnormal myoelectrical activity produces colonic motor dysfunction in the irritable bowel syndrome. Gastroenterology 1977;72:383-7.
  7. Snape WJ Jr. Ýrritable colon syndrome: Pathogenesis of functional bowel disease. New York: Planum 1989;227.
  8. Harvey RF, Read AE. Effect of cholecystokinin on colonic motility and symptoms in patients with irritable bowel syndrome. Lancet 1973;1:1-3
  9. Bravermann DZ. Gall bladder contractions in patients with irritable bowel syndrome. Isr J Med Sci 1987;23:181-4.
  10. Keshavarzian A, Anagnostides A, Chadwick VS. Gallbladder function in the irritable bowel syndrome. J Clin Gastroenterol 1987;3:366.
  11. Misra SP, Dwivedi M, Mital M, Misra V. Gallbladder dynamics in patients with irritable bowel syndrome and essential dyspepsia. J Clin Gastroenterol 1991;13(1):65-8.
  12. Sood GK, Baijal SS, Lahoti D, Broor SL. Abnormal gallbladder functions in patients with irritable bowel syndrome. Am J Gastroenterol 1993;88:1387-93.
  13. Manning AP, Thompson WG, Heaton KW, Morris AF. Towards positive diagnosis of irritable bowel. Br Med J 1980;79:283-8.
  14. Drosmann DA, Richter JE, Talley NJ, Thompson WG, Corazziari E, Whitehead WE. The functional gastrointestinal disorders: Diagnosis, pathophsyiology and treatment. Mc Lean Associates, 1994: 1-370.
  15. Thompson WG, Longstreth GF, Drosmann DA, Heaton KW, Irvine EJ, Muller-Lissner SA. Functional bowel disorders and functional abdominal pain. Gut. 1999;45 (supp II): 1143-7.
  16. Fisher RS, Rock E, Malmud LS. Cholinergic effects on gallbladder emptying in humans. Gastroenterology 1985;89:716-22.
  17. Stone BG, Gavaler SJ, Helle HS et al. Impairment of gallbladder emptying in diabetes mellitus. Gastroenterology 1989;95:170-6.
  18. Fagerberg S, Grevsten S, Johansson H. Vagotomy and gallbladder function. Gut 1970;11:789-92.
  19. Kellow JE, Miller LJ, Philips SF, Zinsmeister AR, Charboneau JW. Altered sensitivity of gallbladder to cholecystokinin octapeptide in IBS. Am J Physiol. 1987;252:G650-5.
  20. Gorard DA, Vesselinova Jenkins CK, Libby GW et al. Migratin motor complex and sleep in health and irritable bowel syndrome. Dig Dis Sci. 1995; 40: 2383- 9.
  21. Gorard DA, Libby GW, Farthing MJG. Ambulatory small intestinal motility in "diarrhoea" predominant irritable bowel syndrome. Gut; 1995: 203-10.
  22. Corazziari E, Shatter EA, Hogan WJ, Sherman S, Toouli J. Functional disorders of the biliary tract and pancreas. Gut 1999; 45 (supp II): 1148-54.
  23. Thompson WG, Longstreth GF, Drosmann DA, Heaton KW, Irvine EJ, Muller-Lissner SA. Functional bowel disorders and functional abdominal pain. Gut. 1999;45 (supp II): 1143-7.