Asemptomatik, semptomatik ve bilier obstrüksiyonlu taşlı kese olgularında safra kesesi motilitesi
Küçük Resim Yok
Dosyalar
Tarih
1999
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Journal of Gastroenterology
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Öz: Safra kesesi motilitesi, ultrasonografik(7.5 MHz transducer) olarak, 35 asemptomatik (17 erkek, 18 kadın, yaş ortalaması 53 yıl, yaş sınırı 33-80), 21 semptomatik (16 kadın, 5 erkek, yaş ortalaması 45 yıl, yaş sınırı 24-70) ve 15 bilier obstrüksiyonlu (7 kadın, 8 erkek, yaş ortalaması 60 yıl, yaş sınırı 45-75) taşlı kese olgusunda çalışıldı. Safra kesesi açlık volümü test yemeğinden hemen önce ölçüldü. Postprandial ölçümler test yemeğinden sonra 15. ve 45. dakikalarda alındı. Bilier obstrüksiyonlu olgularda açlık kese volümü 32.6 ± 7.3 mL iken asemptomatik taşlı kese olgularında 29.8 ± 7.4 mL ve semptomatik zaman zaman ağrıları olup, koledok taşı olmayan, karaciğer enzimleri normal olgularda 23.9 ± 4.6 mL idi (p>0.05). Onbeşinci dakika ejeksiyon fraksiyonu obstrüksiyonu olmayan asemptomatik ve semptomatik taşlı kese olgularında %47.6 ± 5.7 ve %42.6 ± 5.3 iken obstrüksiyonlu olgularda %8 (11.6 idi (p=0.001). Kırkbeşinci dakikada ejeksiyon fraksiyonu asemptomatik taşlı keseli olgularda %56 ± 5.5, semptomatik taşlı keseli olgularda %57.9 ± 3 ve bilier obstrüksiyonlu olgularda %14.5 ± 10.8 idi (p<0,0001). Sonuçlarımız taşlı kese olgularında safra kesesi motilitesinin muhtemelen obstrüksiyona sekonder bozulduğunu göstermektedir.
Abstract: Gallbladder motility in patients with asymptomatic gallstones (n: 35.17M, 18F aged 33-80 years with a mean age of 53 years), patients with symptomatic gallstones (n: 21, 5M, 16F, aged 24-70 years with a mean age of 45 years), and gallstone patients with biliary obstruction (n: 15, 7M, 8F, aged 45-75 years with a mean age of 60 years) was measured by ultrasound (7.5 MHz). Fasting volume was determined prior to the test meal while postprandial measurements were taken 15 and 45 minutes after the test meal. Gallbladder fasting volume was greater in patients with biliary obstruction than in asymptomatic and symptomatic patients (32.6 ± 7.3 mL, 29.8 ± 7.4 and 23.9 ± 4.6 mL respectively, p>0.05). Ejection fraction (15 min) was significantly lower in biliary obstruction cases than in asymptomatic and symptomatic patients (%8 ± 11.6, %47.6 ± 5.7 and %42.6 ± 5.3, respectively) and 45. min values remained significantly lower in these cases than in asymptomatic and symptomatic patients (%14.5 ± 10.8, %56 ± 5.5 and %57.9 ± 3, respectively). Based on the above results, it is concluded that, gallbladder motility may be impaired secondary to obstruction in patients with cholelithiasis.
Abstract: Gallbladder motility in patients with asymptomatic gallstones (n: 35.17M, 18F aged 33-80 years with a mean age of 53 years), patients with symptomatic gallstones (n: 21, 5M, 16F, aged 24-70 years with a mean age of 45 years), and gallstone patients with biliary obstruction (n: 15, 7M, 8F, aged 45-75 years with a mean age of 60 years) was measured by ultrasound (7.5 MHz). Fasting volume was determined prior to the test meal while postprandial measurements were taken 15 and 45 minutes after the test meal. Gallbladder fasting volume was greater in patients with biliary obstruction than in asymptomatic and symptomatic patients (32.6 ± 7.3 mL, 29.8 ± 7.4 and 23.9 ± 4.6 mL respectively, p>0.05). Ejection fraction (15 min) was significantly lower in biliary obstruction cases than in asymptomatic and symptomatic patients (%8 ± 11.6, %47.6 ± 5.7 and %42.6 ± 5.3, respectively) and 45. min values remained significantly lower in these cases than in asymptomatic and symptomatic patients (%14.5 ± 10.8, %56 ± 5.5 and %57.9 ± 3, respectively). Based on the above results, it is concluded that, gallbladder motility may be impaired secondary to obstruction in patients with cholelithiasis.
Açıklama
Yıl: 1999Cilt: 10Sayı: 4ISSN: 1300-4948 / 2148-5607Sayfa Aralığı: 345 - 348Metin Dili:Türkçe
Anahtar Kelimeler
Kaynak
Turkish Journal of Gastroenterology
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
4
Künye
TAŞKIN V,SERBEST S,HİLMİOĞLU F (1999). Asemptomatik, semptomatik ve bilier obstrüksiyonlu taşlı kese olgularında safra kesesi motilitesi. Turkish Journal of Gastroenterology, 10(4), 345 - 348.
