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Review article: gall-bladder motility after intestinal surgery.

N Qvist1

  • 1Department of Surgical Gastroenterology and Nuclear Medicine, Odense University Hospital, Denmark. famqvist@dadlnet.dk

Alimentary Pharmacology & Therapeutics
|July 21, 2000
PubMed
Summary

Gall-bladder motility is closely linked to gastrointestinal motility in humans. Future research on biliary dysmotility post-surgery should measure both fasting and post-meal gallbladder function alongside gut motility.

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Area of Science:

  • Gastroenterology
  • Biliary Physiology
  • Surgical Outcomes

Background:

  • Gallbladder and gastrointestinal motility are closely interrelated in humans.
  • Existing research often overlooks this connection, particularly in post-surgical biliary dysmotility.
  • Most studies focus on post-prandial gallbladder function or drug-induced contractions.

Purpose of the Study:

  • To highlight the importance of considering the relationship between gallbladder and gastrointestinal motility.
  • To advocate for comprehensive motility assessments in post-surgical patients.
  • To address the limitations in current understanding of biliary dysmotility.

Main Methods:

  • Review of existing literature on gallbladder and gastrointestinal motility.
  • Analysis of studies examining biliary dysmotility after specific surgical procedures (e.g., Billroth II resection, pyloroplasty, colectomy).

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  • Emphasis on the need for simultaneous recording of both gallbladder and gastrointestinal motility.

    • Main Results:

    • Impaired gallbladder motility is observed after procedures like Billroth II gastric resection, pyloroplasty, and colectomy.
    • Epidemiological data on gallstone formation risk in these patients are insufficient to recommend prophylactic cholecystectomy.
    • Current research inadequately addresses the fasting state's role in gallbladder motility.

    Conclusions:

    • Future studies on post-surgical gallbladder motility must include both fasting and post-prandial measurements.
    • Simultaneous recording of gastrointestinal motility is essential for a complete understanding.
    • Research should integrate findings with migrating motor complexes for a holistic view.