Gallbladder motility, gallstones, and the surgeon.

Abstract:

:Cholecystectomy is one of the commonest surgical procedures in the Western world, with more than half a million procedures performed annually in the United States alone. In recent years, studies of gallstone pathogenesis and gallbladder disease have increasingly focused on abnormal gallbladder motility in the pathogenesis of some, if not all, gallbladder conditions. The control of gallbladder motility is complex and depends on an intricate interplay of neural and hormonal factors. An understanding of the control of gallbladder motility is crucial to the understanding of the mechanisms of gallstone formation and may help to explain the failure to cure symptoms after cholecystectomy in up to one third of patients. The purpose of this article is to outline mechanisms controlling gallbladder motility, examine recent developments in our understanding of this complex process, and relate changes in motility to common disease conditions of the gallbladder. The role of altered motility in the pathogenesis of gallstones is discussed and the effects of commonly performed surgical procedures such as truncal vagotomy and cholecystectomy on upper gut physiology are reviewed.

journal_name

Dig Dis Sci

authors

Patankar R,Ozmen MM,Bailey IS,Johnson CD

doi

10.1007/BF02063233

subject

Has Abstract

pub_date

1995-11-01 00:00:00

pages

2323-35

issue

11

eissn

0163-2116

issn

1573-2568

journal_volume

40

pub_type

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