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Original Article

Bile Salt Reflux after Cholecystectomy

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Pages 20-24 | Published online: 08 Jul 2009
 

Abstract

Gastric bile salt concentrations, the rates of bile salt reflux, gastric emptying, and gastric volume secretion were measured in 9 women with previous cholecystectomy and 13 unoperated female controls. The subjects were studied using a marker technique with gastric intubation both fasting and after gastric instillation of a mixed liquid meal. Cholecystectomy was without effect on gastric emptying and gastric-volume secretion. Cholecystectomized patients had increased bile salt reflux rates (1.4 ± 0.4 versus 0.6 ± 0.2 μmol/min) and gastric bile concentrations (1753 ± 266 versus 441 ± 114 μmol/l) in the fasting state, but lower rates (0.3 ± 0.3 versus 3.4 ± 0.9 μmol/min) and concentrations (131 ± 46 versus 496 ± 123 μmol/l) after feeding. These findings can be explained by the changes of bile flow into the duodenum induced by cholecystectomy.

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