Abstract
Oral cholecystography is one of the most reliable and widely used x-ray examination which enables us to observed not only morphological features of the gallbladder (GB) but also functioning state. It was disclosed that functional evaluation of the GB is mandatory to recognize such kinetic disorders of the viscus as acalculous cholecystitis or dyskinesia. For the purpose of functional evaluation, fat meal has been used traditionally. Recently, cholecystokinin (CCK) and ceruletide were introduced into clinical diagnosis of the GB, the usefulness of which we have confirmed. In the present study we have made an attempt at improving cholecystagogic effect of conventional fat meals(FM) such as whole milk and egg yolk by changing the posture of the examined from sitting up to right decubitus position after the ingestion of fat meal. The hypothesis involved in this study is that the presence of quantitatively more fat meal in the duodenum per unit time may result in more effective cholecystagogic action and such a setting would be created by enhancement of pyloric passage of fat meal by decubitus posturing. Clinical materials consisted of 280 normal oral GB series (136 males and 144 females) and they were divided into 4 equally numbered groups of
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Choi, Il Bong;
Park, Seog Hee;
Yim, Jeong Ik;
Kim, Jong Woo;
Bahk, Yong Whee
[1]
- Catholic Medical College, Seoul (Korea, Republic of)
Citation Formats
Choi, Il Bong, Park, Seog Hee, Yim, Jeong Ik, Kim, Jong Woo, and Bahk, Yong Whee.
A radiological study on the effect of postural changes after far meal on contraction of the gallbladder.
Korea, Republic of: N. p.,
1982.
Web.
Choi, Il Bong, Park, Seog Hee, Yim, Jeong Ik, Kim, Jong Woo, & Bahk, Yong Whee.
A radiological study on the effect of postural changes after far meal on contraction of the gallbladder.
Korea, Republic of.
Choi, Il Bong, Park, Seog Hee, Yim, Jeong Ik, Kim, Jong Woo, and Bahk, Yong Whee.
1982.
"A radiological study on the effect of postural changes after far meal on contraction of the gallbladder."
Korea, Republic of.
@misc{etde_21216750,
title = {A radiological study on the effect of postural changes after far meal on contraction of the gallbladder}
author = {Choi, Il Bong, Park, Seog Hee, Yim, Jeong Ik, Kim, Jong Woo, and Bahk, Yong Whee}
abstractNote = {Oral cholecystography is one of the most reliable and widely used x-ray examination which enables us to observed not only morphological features of the gallbladder (GB) but also functioning state. It was disclosed that functional evaluation of the GB is mandatory to recognize such kinetic disorders of the viscus as acalculous cholecystitis or dyskinesia. For the purpose of functional evaluation, fat meal has been used traditionally. Recently, cholecystokinin (CCK) and ceruletide were introduced into clinical diagnosis of the GB, the usefulness of which we have confirmed. In the present study we have made an attempt at improving cholecystagogic effect of conventional fat meals(FM) such as whole milk and egg yolk by changing the posture of the examined from sitting up to right decubitus position after the ingestion of fat meal. The hypothesis involved in this study is that the presence of quantitatively more fat meal in the duodenum per unit time may result in more effective cholecystagogic action and such a setting would be created by enhancement of pyloric passage of fat meal by decubitus posturing. Clinical materials consisted of 280 normal oral GB series (136 males and 144 females) and they were divided into 4 equally numbered groups of milk sitting and milk decubitus and egg sitting and egg decubitus. Upon confirming satisfactory opacification of the GB 11 hours after the ingestion of 3 g of sodium ipodate or iopanoic acid either 2 pieces of medium sized hen's egg yolk were given. The xaminess were than allowed either sitting up comfortably on a bench or lying down on the right flank on a couch. After the ingestion of fat mean, x-ray was taken at the end of 30 minutes in all but the milk decubitus group in which x-rays were taken serially at the end of 5, 15, 30 and 60 minutes. The frontal area of each opacified GB was measured by using a planimeter and the contraction rate before and after fat meal stimulation was calculated by the following equation and delineation of the biliary tree was analyzed in each group. Contraction rate (%) = (1- Area of GB after FM/Area of GB before FM) X 100 From our study it was found that assuming right decubitus position after the ingestion of fat meal resulted in marked improvement of GB contraction regardless of the type of fat meal. Egg yolk caused significantly more contraction than milk when tested in decubitus position. The maximum GB contraction occurred at end of 30 min after fat meal stimulation and cholecystogogic effect of both whole milk and egg yolk was as good as that of CCK. Delineation of the biliary three was markedly enhanced in decubitus groups as compared with sitting up groups s revealed.}
journal = []
issue = {2}
volume = {18}
place = {Korea, Republic of}
year = {1982}
month = {Jun}
}
title = {A radiological study on the effect of postural changes after far meal on contraction of the gallbladder}
author = {Choi, Il Bong, Park, Seog Hee, Yim, Jeong Ik, Kim, Jong Woo, and Bahk, Yong Whee}
abstractNote = {Oral cholecystography is one of the most reliable and widely used x-ray examination which enables us to observed not only morphological features of the gallbladder (GB) but also functioning state. It was disclosed that functional evaluation of the GB is mandatory to recognize such kinetic disorders of the viscus as acalculous cholecystitis or dyskinesia. For the purpose of functional evaluation, fat meal has been used traditionally. Recently, cholecystokinin (CCK) and ceruletide were introduced into clinical diagnosis of the GB, the usefulness of which we have confirmed. In the present study we have made an attempt at improving cholecystagogic effect of conventional fat meals(FM) such as whole milk and egg yolk by changing the posture of the examined from sitting up to right decubitus position after the ingestion of fat meal. The hypothesis involved in this study is that the presence of quantitatively more fat meal in the duodenum per unit time may result in more effective cholecystagogic action and such a setting would be created by enhancement of pyloric passage of fat meal by decubitus posturing. Clinical materials consisted of 280 normal oral GB series (136 males and 144 females) and they were divided into 4 equally numbered groups of milk sitting and milk decubitus and egg sitting and egg decubitus. Upon confirming satisfactory opacification of the GB 11 hours after the ingestion of 3 g of sodium ipodate or iopanoic acid either 2 pieces of medium sized hen's egg yolk were given. The xaminess were than allowed either sitting up comfortably on a bench or lying down on the right flank on a couch. After the ingestion of fat mean, x-ray was taken at the end of 30 minutes in all but the milk decubitus group in which x-rays were taken serially at the end of 5, 15, 30 and 60 minutes. The frontal area of each opacified GB was measured by using a planimeter and the contraction rate before and after fat meal stimulation was calculated by the following equation and delineation of the biliary tree was analyzed in each group. Contraction rate (%) = (1- Area of GB after FM/Area of GB before FM) X 100 From our study it was found that assuming right decubitus position after the ingestion of fat meal resulted in marked improvement of GB contraction regardless of the type of fat meal. Egg yolk caused significantly more contraction than milk when tested in decubitus position. The maximum GB contraction occurred at end of 30 min after fat meal stimulation and cholecystogogic effect of both whole milk and egg yolk was as good as that of CCK. Delineation of the biliary three was markedly enhanced in decubitus groups as compared with sitting up groups s revealed.}
journal = []
issue = {2}
volume = {18}
place = {Korea, Republic of}
year = {1982}
month = {Jun}
}