Study on pathogenesis of gallbladder chaotic dynamics after partial gastrectomy
10.3760/cma.j.issn.1673-4203.2009.05.005
- VernacularTitle:胃部分切除术后胆囊动力学紊乱的发病机制
- Author:
Liren LIU
;
Dongsheng XU
;
Xue SONG
;
Baoku QUAN
;
Ming QI
;
Hong YU
;
Yu ZHENG
;
Bei SUN
- Publication Type:Journal Article
- Keywords:
partial gastrectomy;
dynamics of gallbladder;
cholecystokinin
- From:
International Journal of Surgery
2009;36(5):300-302
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the pathogenesis of gallbladder chaotic dynamics after partial gastrec-tomy. Methods 140 cases operated by partial gastrectomy after 6 months were randomly examined, they in-cluded one group of 40 cases by Billroth type and the other 100 cases by Eiselsberg type. The ultrasonograph was applied to evaluate the function of gallbladder dynamics and radio-immunity method to determine the content of CCK at the time of having no food and 30 minutes after med. Results BV and RV of Eiselsberg group were bigger than Billroth Ⅰ obviously P<0.05. Gallbladder contraction rate displayed not well obvi-ously as too. The plasm level of CCK had no manifested distinctions in empty stomach cases of the 2 groups, but the increasing gradient plasm level of CCK in Billroth Ⅰ exceeded Eiselsberg type. Conclusions The pathogenesis of gallbladder chaotic dynamics after partial gastrectomy was correlated with the alterative type of partial gastrectomy, the reduction of CCK plasm level, the damage of anterior vagal trunk hepatic branches during the operations and so on led to the disorder of gallbladder emptying and induced cholecystolithiasis.
