Journals / Turkish Journal of Gastroenterology / 2015 / Cilt: 26 - Sayı: 3

Autonomic neuropathy and gallbladder motility in patients with liver cirrhosis

Pages
254–258
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Our results indicate that liver cirrhosis does not impair gallbladder emptying, and that there is no as- sociation between gallbladder motility and autonomic neuropathy.

📌 3 Key Takeaways

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Objective & Hypothesis:Background/Aims: Impaired gallbladder motility has been suggested as a contributor to increased incidence of gallstones in patients with liver cirrhosis.
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Key Findings & Data:Materials and Methods: Gallbladder function was measured using ultrasonography in 48 patients with liver cir- rhosis and in 31 controls.
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Conclusion & Impact:Conclusion: Our results indicate that liver cirrhosis does not impair gallbladder emptying, and that there is no as- sociation between gallbladder motility and autonomic neuropathy.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Background/Aims: Impaired gallbladder motility has been suggested as a contributor to increased incidence of gallstones in patients with liver cirrhosis. The purpose of this study was to determine gallbladder function and its relation with autonomic neuropathy in liver cirrhosis. Materials and Methods: Gallbladder function was measured using ultrasonography in 48 patients with liver cir- rhosis and in 31 controls. Autonomic neuropathy tests were applied in patients with liver cirrhosis. Patients with liver cirrhosis were analyzed in subgroups according to the severity of disease using the Child-Pugh classification. Results: Fasting gallbladder volume was 16.2 mL (range: 2.1 mL-71.9 mL) in patients and 17.6 mL (range: 4.9 mL- 76.6 mL) in controls. There were no differences in fasting gallbladder volume among the study groups (p>0.05). Gallbladder ejection fraction was significantly higher in patients compared with controls (84% vs. 65%) (p<0.001). No correlation was found between gallbladder ejection fraction and autonomic neuropathy (p>0.05). Conclusion: Our results indicate that liver cirrhosis does not impair gallbladder emptying, and that there is no as- sociation between gallbladder motility and autonomic neuropathy. Further investigations are required to explain increased gallbladder motility in liver cirrhosis.

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Cite This Article

KUL, K., SERİN, E., YAKAR, T., COŞAR, A. M., ÖZER, B. (2015). Autonomic neuropathy and gallbladder motility in patients with liver cirrhosis. Turkish Journal of Gastroenterology, Cilt: 26 - Sayı: 3, 254–258. https://ajindex.com/articles/409388

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References (3)

  1. Acalovschi M, Badea R, Dumitroscu D, Varga C. Prevalence of gall- stones in liver cirrhosis:A sonografic survey. Am J Gastroenterol 1988; 83: 954-6.
  2. Coste D, Barisoni D, Mandelli C, et al. Cholelithiasis in cirrhosis: analysis of 5000 cases. Am J Gastroenterol 1991; 86: 1629-32.
  3. Fornari F, Imberti D, Squillaste MM, et al. Incidence of gallstones in a pop- ulation of patients with cirrhosis. J Hepatol 1994; 20: 797-801. [CrossRef] Chawla A, Puthumana L, Thuluvath PJ. Autonomic dysfunction and cholelithiasis in patients with cirrhosis. Dig Dsi Sci 2001; 46: 495-8. [CrossRef] Verne GN, Soldevia-Pico C, Robinson ME, Spicer KM, Reubes A. Autonomic dysfunction and gastroparezis in cirrhosis. J Clin Gas- troenterol 2004; 38: 72-6. [CrossRef] Gümürdülü Y, Yapar Z, Canataroğlu A, et al. Gastric emptying time and the effect of cisapride in cirrhotic patients with autonomic neuropaty. J Clin Gastroenterol 2003; 36: 175-8. [CrossRef] Ishuzu H, Shimai S, Kawamura E, et al. Gastric emptying in pa- tients with chronic liver diseases. Ann Nucl Med 2002; 16: 177-82. [CrossRef] Reilly JA, Forst CF, Quigley EMM, Rikkers LF. Gastric emptying of liquids and solids in the portal hypertensive rat. Dig Dis Sci 1990; 35: 781-6. [CrossRef] Balan KK, Grime SJ, Sutton R, Critchley M, Jenkins SA. Do altera- tions in the rate of gastric emptying contribute to the pathogen- esis of portal hypertensive gastropathy? Gut 1994; (Suppl 2): S13. Ewing DJ, Clarke BF. Diagnosis and management of diabetic auto- nomic neuropathy. BMJ 1982; 285: 916-9. [CrossRef] Doods WJ, Groh WJ, Darweesh RMA, Lawson TL, Kishk SM, Kern MK. Sonographic measurement of gallbladder volume. Radiol- ogy 1985; 145: 1009-11. [CrossRef] Li CP, Hwang SJ, Lee FY, et al. Evaluation of gallbladder motility in patients with liver disease. Relationship to gallstone formation. Dig Dis Sci 2000; 45: 1109-14. [CrossRef] Acolovschi M, Dumitrascu DL, Csakany I. Gastric and gallbladder emptying of a mixed meal are not coordinated in liver cirrhosis. A simultaneous sonografic study. Gut 1997; 40: 412-7. [CrossRef] Pompili M, Rapaccini GL, Caturelli E, et al. Gallbladder emptying, plasma levels of estradiol and progesterone, and cholecystokinin secretion in liver cirrhosis. Dig Dsi Sci 1995; 40: 428-34. [CrossRef] Sarı R, Yıldırım B, Sevinc A, Bahceci B, Hilmioglu F. Gallbladder con- tractility in patients with cirrhotic versus malignant ascites. J Clin Ultrasound 2002; 30: 477-80