このエントリーをはてなブックマークに追加
ID 31341
JaLCDOI
フルテキストURL
著者
Mizushima, Takaaki Okayama University
Ochi, Koji Okayama University
Seno, Toshinobu Okayama Univeristy
Matsumura, Naoki Okayama University
Harada, Hideo Okayama University
抄録
We simultaneously assessed gastric emptying and gallbladder contraction after oral administration of a liquid meal by noninvasive ultrasonography in 17 patients with chronic pancreatitis (CP) and in 17 healthy controls. Gastrointestinal (GI) transit was also assessed by a noninvasive radioopaque marker method. Exocrine pancreatic function was evaluated by analyzing pure pancreatic juice and by analyzing the autonomic nervous system by cardiovascular reflex tests. Patients with CP showed impaired gallbladder contraction at 15 min and hastened gastric emptying. The cause of the former is unclear, whereas the latter was closely related with decreased pancreatic lipase output, but not with autonomic dysfunction. GI transit time did not differ between controls and patients with CP. In conclusion, we succeeded in clearly demonstrating impaired gallbladder contraction and hastened gastric emptying in patients with CP by a single noninvasive test, ultrasonography. We also revealed for the first time that hastened gastric emptying is associated with insufficient pancreatic lipase output.
キーワード
chronic pancreatits
gastric emptying
gallbladder motility
colonic transit
lipase output
Amo Type
Article
発行日
1998-02
出版物タイトル
Acta Medica Okayama
52巻
1号
出版者
Okayama University Medical School
開始ページ
55
終了ページ
61
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Sience KeyUT