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Gallbladder function in diabetic patients.

D P Shreiner, R P Sarva, D Van Thiel

    Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine
    |March 1, 1986
    PubMed
    Summary
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    Diabetic patients, especially obese ones, show impaired gallbladder emptying, even without gallstones. This dysfunction, coupled with faster filling, may increase gallstone risk in this population.

    Area of Science:

    • Gastroenterology
    • Endocrinology
    • Nuclear Medicine

    Background:

    • Gallbladder function is crucial for digestion.
    • Diabetes mellitus can affect various bodily systems, including gastrointestinal motility.
    • Gallstone formation is a common complication, but its relationship with gallbladder dysfunction in diabetes is not fully understood.

    Purpose of the Study:

    • To investigate gallbladder filling and emptying dynamics in diabetic patients compared to healthy controls.
    • To assess the impact of obesity on gallbladder function in diabetic individuals.
    • To explore potential mechanisms predisposing diabetics to gallstones.

    Main Methods:

    • Utilized cholescintigraphy with [99mTc]disofenin for gallbladder imaging.
    • Administered octapeptide of cholecystokinin (OP-CCK) via intravenous infusion to stimulate gallbladder emptying.

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  • Compared gallbladder filling rates and emptying percentages between diabetic and control groups, and further analyzed subgroups of obese and nonobese diabetics.
  • Main Results:

    • Diabetic subjects exhibited a greater peak gallbladder filling rate than normal controls.
    • Gallbladder emptying in response to OP-CCK was significantly reduced in diabetic subjects (51.6%) compared to controls (77.2%).
    • Obese diabetics demonstrated substantially lower gallbladder emptying (30.0%) compared to nonobese diabetics (73.1%).

    Conclusions:

    • Obese diabetics may experience impaired gallbladder emptying, independent of gallstones.
    • Accelerated gallbladder filling in obesity suggests potential gallbladder hypotonicity.
    • The combination of impaired emptying and altered filling may increase the risk of gallstone development in obese diabetics.