Biliary lipid output and bile acid kinetics in cholesterol gallstone disease. Evidence for an increased hepatic secretion of cholesterol in Swedish patients.

Abstract:

:Sweden has one of the highest incidences of gallstone disease in the Western world. It is therefore important to characterize the mechanisms responsible for the formation of cholesterol gallstones in this population. In the present study, we have determined the kinetics of the two primary bile acids, cholic acid and chenodeoxycholic acid, and the hepatic secretion rates of the biliary lipids in 21 normolipidemic, nonobese gallstone patients (13 with functioning and 8 with nonfunctioning gallbladder) and in 23 healthy controls. The cholesterol saturation of fasting gallbladder bile averaged 110% in the gallstone patients with functioning gallbladder and 82% in the controls. The pool sizes of cholic acid and chenodeoxycholic acid were reduced by about 40% in the two groups of gallstone patients, whereas the rates of synthesis were close to normal. The fractional catabolic rate of both bile acids was increased in both groups of gallstone patients. The gallstone patients with functioning gallbladder had an increased (about 50%) cholesterol secretion but normal bile acid and phospholipid secretion rates. In the gallstone patients with nonfunctioning gallbladder the secretion rates of biliary lipids were not significantly different from those of the controls. The ratio between cholesterol and bile acids was about 50% higher in the gallstone patients with functioning gallbladder than in the controls or in those with nonfunctioning gallbladder. The results indicate that the hepatic secretion of cholesterol is an important determinant for the development of saturated gallbladder bile in Swedish gallstone patients.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Nilsell K,Angelin B,Liljeqvist L,Einarsson K

doi

10.1016/0016-5085(85)90328-2

subject

Has Abstract

pub_date

1985-08-01 00:00:00

pages

287-93

issue

2

eissn

0016-5085

issn

1528-0012

pii

0016-5085(85)90328-2

journal_volume

89

pub_type

杂志文章
  • Gallbladder and liver infarction occurring as a complication of acute bacterial endocarditis.

    abstract::A case of acute bacterial endocarditis is presented in which gallbladder infarction and areas of hepatic infarction were documented. Selective angiography showed findings consistent with emboli to the gallbladder and hepatic circulations. ...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:

    authors: Henrich WL,Huehnegarth RJ,Rösch J,Melnyk CS

    更新日期:1975-06-01 00:00:00

  • REG Ialpha protein may function as a trophic and/or anti-apoptotic factor in the development of gastric cancer.

    abstract:BACKGROUND & AIMS:Although a significant amount of regenerating gene (REG) Ialpha protein is present not only in normal gastric mucosa but also in gastric cancer tissues, its pathophysiologic role in gastric cancer development remains unclear. We investigated REG Ialpha protein expression in early gastric cancers, and ...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2004.12.045

    authors: Sekikawa A,Fukui H,Fujii S,Takeda J,Nanakin A,Hisatsune H,Seno H,Takasawa S,Okamoto H,Fujimori T,Chiba T

    更新日期:2005-03-01 00:00:00

  • Inactivation of rat small intestinal brush-border membrane alkaline phosphatase by oxygen free radicals.

    abstract:BACKGROUND:To date, the potential effects of free radicals on the activities of intestinal brush-border membrane enzymes have received little attention. Therefore, we conducted a series of experiments to examine the effects of free radicals on various enzymatic activities of rat small intestinal brush-border membranes....

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1016/0016-5085(93)90708-k

    authors: Dudeja PK,Brasitus TA

    更新日期:1993-08-01 00:00:00

  • Independent influences of body mass and gastric volumes on satiation in humans.

    abstract:BACKGROUND & AIMS:We assessed the association of body mass and gastric volumes (fasting and postprandial) with satiation and postprandial symptoms. METHODS:Healthy obese and nonobese subjects underwent measurement of caloric intake at maximum satiation; postprandial symptoms were measured with visual analogue scales 3...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2003.11.007

    authors: Delgado-Aros S,Cremonini F,Castillo JE,Chial HJ,Burton DD,Ferber I,Camilleri M

    更新日期:2004-02-01 00:00:00

  • Delayed-release oral mesalamine 4.8 g/day (800-mg tablet) is effective for patients with moderately active ulcerative colitis.

    abstract:BACKGROUND AND AIMS:It is not clear what induction dose of mesalamine is optimal for treating patients with mildly and moderately active ulcerative colitis (UC). This study was conducted to determine the efficacy and safety of mesalamine 4.8 g/day compared with 2.4 g/day for the treatment of moderately active UC. METH...

    journal_title:Gastroenterology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1053/j.gastro.2009.08.069

    authors: Sandborn WJ,Regula J,Feagan BG,Belousova E,Jojic N,Lukas M,Yacyshyn B,Krzeski P,Yeh CH,Messer CA,Hanauer SB

    更新日期:2009-12-01 00:00:00

  • Caliber-persistent artery of the stomach (Dieulafoy's vascular malformation).

    abstract::Caliber-persistent artery of the stomach (also known as cirsoid aneurysm, Dieulafoy's lesion, and submucosal arterial malformation) is clinically manifested as recurrent, massive, often fatal hematemesis. The lesion often is not seen endoscopically. Left gastric angiography in one patient with hematemesis showed a con...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1016/0016-5085(90)91183-7

    authors: Eidus LB,Rasuli P,Manion D,Heringer R

    更新日期:1990-11-01 00:00:00

  • Gum arabic promotes rat jejunal sodium and water absorption from oral rehydration solutions in two models of diarrhea.

    abstract:BACKGROUND & AIMS:We have shown that addition of gum arabic (GA) to a 90 mmol/L sodium-111 mmol/L glucose oral rehydration solution (ORS) enhances its effectiveness for water and electrolyte absorption in normal rats. The present study extends these observations on GA in ORS to two rat models of diarrheal disease. MET...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/gast.1997.v112.pm9178690

    authors: Wapnir RA,Wingertzahn MA,Moyse J,Teichberg S

    更新日期:1997-06-01 00:00:00

  • The Apc 1322T mouse develops severe polyposis associated with submaximal nuclear beta-catenin expression.

    abstract:BACKGROUND & AIMS:We previously demonstrated that the 2 APC mutations in human colorectal tumors are coselected, because tumorigenesis requires an optimal level of Wnt signaling. We and others subsequently showed that the truncated APC proteins in colorectal tumors usually retain a total of 1-2 beta-catenin binding/deg...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2009.02.058

    authors: Pollard P,Deheragoda M,Segditsas S,Lewis A,Rowan A,Howarth K,Willis L,Nye E,McCart A,Mandir N,Silver A,Goodlad R,Stamp G,Cockman M,East P,Spencer-Dene B,Poulsom R,Wright N,Tomlinson I

    更新日期:2009-06-01 00:00:00

  • Combined analysis of randomized controlled trials of ursodeoxycholic acid in primary biliary cirrhosis.

    abstract:BACKGROUND & AIMS:Long-term ursodeoxycholic acid (UDCA) therapy slows the progression of primary biliary cirrhosis. This study examined the effect of UDCA therapy on survival free of liver transplantation in a large group of patients. METHODS:Data from three clinical trials were combined in which patients with primary...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1016/s0016-5085(97)70183-5

    authors: Poupon RE,Lindor KD,Cauch-Dudek K,Dickson ER,Poupon R,Heathcote EJ

    更新日期:1997-09-01 00:00:00

  • Fasting breath hydrogen concentration: normal values and clinical application.

    abstract::Excretion of hydrogen in breath commonly persists despite an overnight fast. Although elevation of hydrogen concentration above the fasting value after administration of a test sugar is evidence of malabsorption, the significance of the fasting value itself is unknown. We determined the normal limits of fasting breath...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:

    authors: Perman JA,Modler S,Barr RG,Rosenthal P

    更新日期:1984-12-01 00:00:00

  • Studies of the antisecretory activity of morphine in rabbit ileum in vitro.

    abstract::We studied the influence of morphine on intestinal secretion induced by three different secretogogues in an attempt to elucidate the mechanism for its antisecretory activity. In rabbit ileal mucosa in vitro morphine (10(-4) M) did not influence the electrical response to the subsequent administration of prostaglandin ...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:

    authors: McKay JS,Linaker BD,Higgs NB,Turnberg LA

    更新日期:1982-02-01 00:00:00

  • Gastric endocrine cell behavior in Zollinger-Ellison patients upon long-term potent antisecretory treatment.

    abstract::Serum gastrin and gastric endocrine cell numerical densities were examined in 22 patients with long-standing Zollinger-Ellison syndrome who were receiving either ranitidine, omeprazole, or other antisecretory drugs (SMS 201-995 or pirenzepine with or without ranitidine) for long periods of time. Fifteen patients had i...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1016/0016-5085(89)91620-x

    authors: Lehy T,Mignon M,Cadiot G,Elouaer-Blanc L,Ruszniewski P,Lewin MJ,Bonfils S

    更新日期:1989-04-01 00:00:00

  • Reduced mortality rates following elective percutaneous liver biopsies.

    abstract:BACKGROUND & AIMS:Estimates of complication rates following elective percutaneous liver biopsy vary and might not accurately reflect current practice. We studied mortality and complication rates, by indication, in patients after they underwent liver biopsies. METHODS:We performed a study using hospital episode statist...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2010.06.015

    authors: West J,Card TR

    更新日期:2010-10-01 00:00:00

  • Discordant HLA haplotype segregation in familial Crohn's disease.

    abstract::To look for possible HLA linkage in familial Crohn's disease, HLA haplotype segregation patterns were determined in 70 members of five kindreds, each having 2 or more patients with Crohn's disease (total number: 13 with Crohn's disease, 1 with ulcerative colitis). Concordant segregation of HLA haplotypes and disease w...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:

    authors: Eade OE,Moulton C,MacPherson BR,Andre-Ukena SS,Albertini RJ,Beeken WL

    更新日期:1980-08-01 00:00:00

  • Abnormal REM sleep in the irritable bowel syndrome.

    abstract::Motor abnormalities of the small bowel that occur only during the waking state have been reported in the irritable bowel syndrome (IBS), suggesting that central nervous system arousal is a necessary condition for expression of the disorder and that it may reflect inappropriate brain-gut interaction. This possible rela...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1016/0016-5085(92)91089-m

    authors: Kumar D,Thompson PD,Wingate DL,Vesselinova-Jenkins CK,Libby G

    更新日期:1992-07-01 00:00:00

  • Restoration of CFTR Activity in Ducts Rescues Acinar Cell Function and Reduces Inflammation in Pancreatic and Salivary Glands of Mice.

    abstract:BACKGROUND & AIMS:Sjögren's syndrome and autoimmune pancreatitis are disorders with decreased function of salivary, lacrimal glands, and the exocrine pancreas. Nonobese diabetic/ShiLTJ mice and mice transduced with the cytokine BMP6 develop Sjögren's syndrome and chronic pancreatitis and MRL/Mp mice are models of autoi...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2017.06.011

    authors: Zeng M,Szymczak M,Ahuja M,Zheng C,Yin H,Swaim W,Chiorini JA,Bridges RJ,Muallem S

    更新日期:2017-10-01 00:00:00

  • Pregnancy-related changes in small intestinal myoelectric activity in the rat.

    abstract::To determine if changes in intestinal motility occur during pregnancy, we studied small intestinal myoelectric activity, using monopolar electrodes, in fasted pregnant rats from day 12 to day 18 of the 22-day gestation period. We also studied fasting myoelectric activity in postpartum, nonpregnant, and castrate female...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:

    authors: Scott LD,Lester R,Van Thiel DH,Wald A

    更新日期:1983-02-01 00:00:00

  • Immediate effects of furosemide on renal hemodynamics in chronic liver disease with ascites.

    abstract::Furosemide occasionally causes azotemia in patients with ascites, independently of induced volume depletion. To define this effect, we measured renal clearances in patients with chronic liver disease and ascites and in nonascitic controls. Furosemide (80 mg i.v.) transiently increased p-aminohippurate clearance in con...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1016/0016-5085(87)90616-0

    authors: Daskalopoulos G,Laffi G,Morgan T,Pinzani M,Harley H,Reynolds T,Zipser RD

    更新日期:1987-06-01 00:00:00

  • Zinc deficiency: a complication of Crohn's disease.

    abstract::Twenty-one of 52 patients with regional enteritis had low serum zinc concentrations on initial testing. Fourteen of 31 patients followed longitudinally had low serum zinc concentrations. Two patients are presented as case reports who developed acrodermatitis skin lesions that responded to zinc therapy. Hypogonadism, g...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:

    authors: McClain C,Soutor C,Zieve L

    更新日期:1980-02-01 00:00:00

  • Multiple mechanisms in indomethacin-induced impairment of hepatic cytochrome P450 enzymes in rats.

    abstract:BACKGROUND & AIMS:Indomethacin impairs liver microsomal monooxygenase activities mediated by cytochrome P450 (CYP). We investigated the inhibition mechanism and the isoform selectivity in vitro and in vivo. METHODS:In an in vitro study, liver microsomes from male Wistar rats were preincubated with indomethacin and a r...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/gast.2002.31886

    authors: Masubuchi Y,Masuda E,Horie T

    更新日期:2002-03-01 00:00:00

  • Stimulation of gastric inhibitory polypeptide in normal and duodenal ulcer patients.

    abstract::To investigate the role of gastric inhibitory polypeptide (GIP), a potent inhibitor of gastric acid secretion, in the hypersecretion associated with duodenal ulcer, we compared the serum GIP concentrations in 11 healthy subjects and 16 duodenal ulcer patients after the stimulation of GIP release by a mixed meal. Fasti...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:

    authors: Cataland S,O'Dorisio TM,Brooks R,Mekhjian HS

    更新日期:1977-07-01 00:00:00

  • Structural analysis of a human intestinal epithelial cell line.

    abstract::Confluent monolayers of epithelial cell lines of intestinal derivation may serve as useful models for studies of intestinal epithelial structure and function. Cells of the T84 line appear to be a useful model for studies of Cl- secretion. We now define the fine structure of this cell line, the structural events that o...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1016/s0016-5085(87)91069-9

    authors: Madara JL,Stafford J,Dharmsathaphorn K,Carlson S

    更新日期:1987-05-01 00:00:00

  • Direct evidence for the intact hepatocyte theory in patients with liver cirrhosis.

    abstract::An attempt was made to compare various morphometric parameters, including total hepatocyte number, with the in vivo clearances of aminopyrine and antipyrine in 26 cirrhotic and 14 noncirrhotic patients to evaluate the intact hepatocyte theory. Morphometric analysis was performed with a newly developed method using a c...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:

    authors: Kawasaki S,Imamura H,Bandai Y,Sanjo K,Idezuki Y

    更新日期:1992-04-01 00:00:00

  • Increased procoagulant activity of peripheral blood monocytes in human and experimental obstructive jaundice.

    abstract::We studied the procoagulant activity of peripheral blood monocytes in 41 patients with severe obstructive jaundice and in 27 nonjaundiced control patients using a one-stage clotting assay. Mononuclear cells from jaundiced patients, tested immediately after isolation, expressed low levels of procoagulant activity, whic...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:

    authors: Semeraro N,Montemurro P,Chetta G,Altomare DF,Giordano D,Colucci M

    更新日期:1989-03-01 00:00:00

  • Adenocarcinomas of the colon and rectum in persons under 40 years old. A population-based study.

    abstract::Data collected by nine population-based tumor registries participating in the Surveillance, Epidemiology, and End Results Program of the National Cancer Institute were analyzed to characterize the epidemiology of noncarcinoid adenocarcinomas of the colon and rectum in young adults. Tumors diagnosed in persons under 40...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1016/0016-5085(91)90279-t

    authors: Griffin PM,Liff JM,Greenberg RS,Clark WS

    更新日期:1991-04-01 00:00:00

  • Using a 3% Proton Density Fat Fraction as a Cut-Off Value Increases Sensitivity of Detection of Hepatic Steatosis, Based on Results From Histopathology Analysis.

    abstract::It is possible to estimate hepatic triglyceride content by calculating the proton density fat fraction (PDFF), using proton magnetic resonance spectroscopy (1H-MRS), instead of collecting and analyzing liver biopsy specimens to detect steatosis. However, the current PDFF cut-off value (5%) used to define steatosis by ...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2017.03.005

    authors: Nasr P,Forsgren MF,Ignatova S,Dahlström N,Cedersund G,Leinhard OD,Norén B,Ekstedt M,Lundberg P,Kechagias S

    更新日期:2017-07-01 00:00:00

  • Gastrointestinal food hypersensitivity: basic mechanisms of pathophysiology.

    abstract::Gastrointestinal symptoms occur in a large number of patients with food allergies. Immediate hypersensitivity mechanisms may give rise to the nausea, vomiting, abdominal pain, and diarrhea experienced by these patients. However, there are limited human data about the pathophysiological basis for these symptoms. Most o...

    journal_title:Gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1016/0016-5085(92)90047-3

    authors: Crowe SE,Perdue MH

    更新日期:1992-09-01 00:00:00

  • High levels of hepatitis B surface antigen increase risk of hepatocellular carcinoma in patients with low HBV load.

    abstract:BACKGROUND & AIMS:Patients with chronic hepatitis B virus (HBV) infection have a high risk for developing hepatocellular carcinoma (HCC). Patients with lower levels of hepatitis B surface antigen (HBsAg) have higher chances of losing HBsAg than those with high levels. However, little is known about whether higher level...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2012.02.007

    authors: Tseng TC,Liu CJ,Yang HC,Su TH,Wang CC,Chen CL,Kuo SF,Liu CH,Chen PJ,Chen DS,Kao JH

    更新日期:2012-05-01 00:00:00

  • Effect of institution-wide policy of colonoscopy withdrawal time > or = 7 minutes on polyp detection.

    abstract:BACKGROUND & AIMS:Practice guidelines recommend that endoscopists spend at least 7 minutes examining the colonic mucosa during colonoscopy withdrawal to optimize polyp yield. The aim of this study was to determine if the implementation of an institution-wide policy of colonoscopy withdrawal time > or = 7 minutes was as...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2008.08.024

    authors: Sawhney MS,Cury MS,Neeman N,Ngo LH,Lewis JM,Chuttani R,Pleskow DK,Aronson MD

    更新日期:2008-12-01 00:00:00

  • Equivalent Accuracy of 2 Quantitative Fecal Immunochemical Tests in Detecting Advanced Neoplasia in an Organized Colorectal Cancer Screening Program.

    abstract:BACKGROUND & AIMS:Although different brands of fecal immunochemical tests (FITs) are used for colorectal cancer (CRC) screening, few studies have compared their accuracy in detecting advanced neoplasia. METHODS:We performed a large prospective cohort study within the Dutch national CRC screening program to evaluate 2 ...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2018.07.021

    authors: Wieten E,de Klerk CM,van der Steen A,Ramakers CR,Kuipers EJ,Hansen BE,Lansdorp-Vogelaar I,Bossuyt PM,Dekker E,Spaander MCW

    更新日期:2018-11-01 00:00:00