Symptoms and diagnosis of gallbladder stones

Best Practice and Research: Clinical Gastroenterology

Volumn 20, Issue 6, 2006, Pages 1017-1029

  Portincasa, P ^a   Moschetta, A ^a   Petruzzelli, M ^a   Palasciano, G ^a   Di Ciaula, A ^b   Pezzolla, A ^a  

^a UNIVERSITY OF BARI MEDICAL SCHOOL   (Italy)

^b Hospital of Bisceglie   (Italy)

Author keywords

cholesterol crystals; colicky pain; ERCP; gallstone disease; ultrasonography

Indexed keywords

BILE ACID; NARCOTIC ANALGESIC AGENT; NONSTEROID ANTIINFLAMMATORY AGENT; OCTREOTIDE; SEROTONIN ANTAGONIST;

ABDOMINAL RADIOGRAPHY; ACALCULOUS CHOLECYSTITIS; ACUTE CHOLECYSTITIS; ACUTE PANCREATITIS; BILIARY TRACT PAIN; CHOLANGITIS; CHOLECYSTECTOMY; CHOLELITHIASIS; CLINICAL FEATURE; COLIC; COMMON BILE DUCT STONE; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST; DIFFERENTIAL DIAGNOSIS; DUODENUM INTUBATION; ECHOGRAPHY; ENDOSCOPIC ECHOGRAPHY; ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; EXTRACORPOREAL LITHOTRIPSY; FEVER; GALLBLADDER CANCER; GALLBLADDER DYSMOTILITY; GALLBLADDER MOTILITY; GALLBLADDER PERFORATION; GALLBLADDER SCINTISCANNING; GALLSTONE FORMATION; HUMAN; JAUNDICE; LABORATORY TEST; LEUKOCYTOSIS; MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY; MUCOCELE; NAUSEA; POLARIZATION MICROSCOPY; REVIEW; SENSITIVITY AND SPECIFICITY; STONE DISSOLUTION; SYMPTOMATOLOGY; VISCERAL PAIN; VOMITING; ABDOMEN; BILE; CHEMISTRY; CHOLECYSTITIS; GALLSTONE;

ABDOMEN; BILE; CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE; CHOLANGIOPANCREATOGRAPHY, MAGNETIC RESONANCE; CHOLECYSTITIS; COLIC; DIAGNOSIS, DIFFERENTIAL; GALLSTONES; HUMANS; SENSITIVITY AND SPECIFICITY;

EID: 33751163724     PISSN: 15216918     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.bpg.2006.05.005     Document Type: Review

References (115)

1. Gibney E.J. Asymptomatic gallstones. Br J Surg 77 (1990) 368-372
2. Jorgensen T. Abdominal symptoms and gallstone disease: an epidemiological investigation. Hepatology 9 (1989) 856-860
3. Festi D., Sottili S., Colecchia A., et al. Clinical manifestations of gallstone disease: evidence from the multicenter Italian study on cholelithiasis (MICOL). Hepatology 30 (1999) 839-846
4. Thistle J.L., Cleary P.A., Lachin J.M., et al. The natural history of cholelithiasis: the National Cooperative Gallstone Study. Ann Intern Med 101 (1984) 171-175
5. Attili A.F., De Santis A., Capri R., et al. The natural history of gallstones: the GREPCO experience. Hepatology 21 (1995) 656-660
6. Friedman G.D., Raviola C.A., and Et Fireman B. Prognosis of gallstones with mild or no symptoms: 25 years of follow-up in a health maintenance organization. J Clin Epidemiol 42 (1989) 127-136
7. Venneman N.G., Renooij W., Rehfeld J.F., et al. Small gallstones, preserved gallbladder motility, and fast crystallization are associated with pancreatitis. Hepatology 41 (2005) 738-746
8. Venneman N.G., Buskens E., Besselink M.G., et al. Small gallstones are associated with increased risk of acute pancreatitis: potential benefits of prophylactic cholecystectomy?. Am J Gastroenterol 100 (2005) 2540-2550
9. Paumgartner G., Carr-Locke D.L., Dubois F., et al. Strategies in the treatment of gallstone disease. Working team report. Gastroenterology International 6 (1993) 65-75
10. Brugge W.R. The silent gallstone. In: Afdhal N.H. (Ed). Gallbladder and Biliary Tract Diseases (2000), Marcel Dekker, Inc, New York, Basel 447-453
11. Sleisenger M.H., and Fordtran J.S. Gastrointestinal Disease: Pathophysiology, Diagnosis, Management (1993), W.B. Saunders, Philadelphia
12. Randi G., Franceschi S., and Et La V.C. Gallbladder cancer worldwide: geographical distribution and risk factors. Int J Cancer 118 (2006) 1591-1602
13. Grimaldi C.H., Nelson R.G., Pettitt D.J., et al. Increased mortality with gallstone disease: results of a 20-year population-based survey in Pima Indians. Ann Intern Med 118 (1993) 185-190
14. Bonatsos G., Birbas K., Toutouzas K., et al. Laparoscopic cholecystectomy in adults with sickle cell disease. Surg Endosc 15 (2001) 816-819
15. Graham S.M., Flowers J.L., Schweitzer E., et al. Opportunistic upper gastrointestinal infection in transplant recipients. Surg Endosc 9 (1995) 146-150
16. Graham S.M., Flowers J.L., Schweitzer E., et al. The utility of prophylactic laparoscopic cholecystectomy in transplant candidates. Am J Surg 169 (1995) 44-48
17. Kao L.S., Kuhr C.S., and Et Flum D.R. Should cholecystectomy be performed for asymptomatic cholelithiasis in transplant patients?. J Am Coll Surg 197 (2003) 302-312
18. Shiffman M.L., Sugerman H.J., Kellum J.H., et al. Gallstones in patients with morbid obesity. Relationship to body weight, weight loss and gallbladder bile cholesterol solubility. Int J Obes 17 (1993) 153-158
19. Shiffman M.L., Sugerman H.J., Kellum J.M., et al. Gallstone formation after rapid weight loss: a prospective study in patients undergoing gastric bypass surgery for treatment of morbid obesity. Am J Gastroenterol 86 (1991) 1000-1005
20. Liem R.K., and Niloff P.H. Prophylactic cholecystectomy with open gastric bypass operation. Obes Surg 14 (2004) 763-765
21. Schoenfield L.J., Carulli N., Dowling R.H., et al. Asymptomatic gallstones: definition and treatment. Gastroenterology International 2 (1989) 25-29
22. Sauerbruch T., and Paumgartner G. Gallbladder stones: management. Lancet 338 (1991) 1121-1124
23. Diehl A.K., Sugarek N.J., and Et Todd K.H. Clinical evaluation for gallstone disease: usefulness of symptoms and signs in diagnosis. Am J Med 89 (1990) 29-33
24. Berhane T., Vetrhus M., Hausken T., et al. Pain attacks in non-complicated and complicated gallstone disease have a characteristic pattern and are accompanied by dyspepsia in most patients: the results of a prospective study. Scand J Gastroenterol 41 (2006) 93-101
25. Tomida S., Abei M., Yamaguchi T., et al. Long-term ursodeoxycholic acid therapy is associated with reduced risk of biliary pain and acute cholecystitis in patients with gallbladder stones: a cohort analysis. Hepatology 30 (1999) 6-13
26. Leopold G.R., Amberg J., Gosink B.B., et al. Gray scale ultrasonic cholecystography: a comparison with conventional radiographic techniques. Radiology 121 (1976) 445-448
27. Leopold G.R. Diagnostic ultrasound. JAMA 236 (1976) 2394
28. Portincasa P., Di Ciaula A., Palmieri V.O., et al. Sonographic evaluation of gallstone burden in humans. Ital J Gastroenterol Hepatol 26 (1994) 141-144
29. Palasciano G., Serio G., Portincasa P., et al. Gallbladder volume in adults and relationship to age, sex, body mass index and gallstones: a sonographic population study. Am J Gastroenterol 87 (1992) 493-497
30. Johnston D.E., and Kaplan M.M. Pathogenesis and treatment of gallstones. N Engl J Med 328 (1993) 412-421
31. Onders R.P., and Hallowell P.T. The era of ultrasonography during laparoscopic cholecystectomy. Am J Surg 189 (2005) 348-351
32. Minutolo V., Gagliano G., Rinzivillo C., et al. Laparoscopic cholecystectomy (LC): predictive role of preoperative ultrasounds. G Chir 26 (2005) 101-104
33. Yau H.M., Lee K.T., Kao E.L., et al. Color Doppler ultrasound detection and classification of the tangential hepatic vein before laparoscopic cholecystectomy. Surg Endosc 19 (2005) 1377-1380
34. Kalimi R., Gecelter G.R., Caplin D., et al. Diagnosis of acute cholecystitis: sensitivity of sonography, cholescintigraphy, and combined sonography-cholescintigraphy. J Am Coll Surg 193 (2001) 609-613
35. Sivak Jr. M.V. Endoscopic management of bile duct stones. Am J Surg 158 (1989) 228-240
36. NIH state-of-the-science statement on endoscopic retrograde cholangiopancreatography (ERCP) for diagnosis and therapy. NIH Consens State Sci Statements 19 (2002) 1-26
37. Mirbagheri S.A., Mohamadnejad M., Nasiri J., et al. Prospective evaluation of endoscopic ultrasonography in the diagnosis of biliary microlithiasis in patients with normal transabdominal ultrasonography. J Gastrointest Surg 9 (2005) 961-964
38. Thorboll J., Vilmann P., Jacobsen B., et al. Endoscopic ultrasonography in detection of cholelithiasis in patients with biliary pain and negative transabdominal ultrasonography. Scand J Gastroenterol 39 (2004) 267-269
39. Buscarini E., Tansini P., Vallisa D., et al. EUS for suspected choledocholithiasis: do benefits outweigh costs? A prospective, controlled study. Gastrointest Endosc 57 (2003) 510-518
40. Canto M.I., Chak A., Stellato T., et al. Endoscopic ultrasonography versus cholangiography for the diagnosis of choledocholithiasis. Gastrointest Endosc 47 (1998) 439-448
41. Pomeranz I.S., and Shaffer E.A. Abnormal gallbladder emptying in a subgroup of patients with gallstones. Gastroenterology 88 (1985) 787-791
42. Lanzini A., Jazrawi R.P., and Et Northfield T.C. Simultaneous quantitative measurements of absolute gallbladder storage and emptying during fasting and eating in humans. Gastroenterology 92 (1987) 852-861
43. Everson G.T., Braverman D.Z., Johnson M.L., et al. A critical evaluation of real-time ultrasonography for the study of gallbladder volume and contraction. Gastroenterology 79 (1980) 40-46
44. Portincasa P., Peeters T.L., Berge-Henegouwen G.P., et al. Acute intraduodenal bile salt depletion leads to strong gallbladder contraction, altered antroduodenal motility and high plasma motilin levels in humans. Neurogastroenterol Motil 12 (2000) 421-430
45. Festi D., Colecchia A., Larocca A., et al. Review: low caloric intake and gall-bladder motor function. Aliment Pharmacol Ther 14 supplement 2 (2000) 51-53
46. van Erpecum K.J., vanBerge-Henegouwen G.P., Stolk M.F.J., et al. Effects of ursodeoxycholic acid on gallbladder contraction and cholecystokinin release in gallstone patients and normal subjects. Gastroenterology 99 (1990) 836-842
47. Portincasa P., Di Ciaula A., Baldassarre G., et al. Gallbladder motor function in gallstone patients: sonographic and in vitro studies on the role of gallstones, smooth muscle function and gallbladder wall inflammation. J Hepatol 21 (1994) 430-440
48. Portincasa P. Gallbladder and bile in health and gallstone disease. The role of motility, gallstones and bile lipid composition. PhD Thesis Utrecht University, Utrecht University, 1995.
49. Portincasa P., Moschetta A., Colecchia A., et al. Measurement of gallbladder motor function by ultrasonography: towards for standardization. Dig Liver Dis (Ital J Gastroenterol Hepatol) 35 supplement 3 (2003) S56-S61
50. van Erpecum K.J., vanBerge-Henegouwen G.P., Stolk M.F.J., et al. Fasting gallbladder volume, postprandial emptying and cholecystokinin release in gallstone patients and normal subjects. J Hepatol 14 (1992) 194-202
51. Portincasa P., Colecchia A., Di Ciaula A., et al. Standards for diagnosis of gastrointestinal motility disorders. Ultrasonography. Dig Liver Dis (Ital J Gastroenterol) 32 (2000) 160-172
52. Apstein M.D., and Carey M.C. Pathogenesis of cholesterol gallstones: a parsimonious hypothesis. Eur J Clin Invest 26 (1996) 343-352
53. Portincasa P., Moschetta A., Calamita G., et al. Pathobiology of cholesterol gallstone disease: from equilibrium ternary phase diagram to agents preventing cholesterol crystallization and stone formation. Curr Drug Targets Immune Endocr Metabol Disord 3 (2003) 68-87
54. Portincasa P., van de Meeberg P., van Erpecum K.J., et al. An update on the pathogenesis and treatment of cholesterol gallstones. Scand J Gastroenterol Suppl 223 (1997) 60-69
55. Xu Q.W., and Shaffer E.A. The potential site of impaired gallbladder contractility in an animal model of cholesterol gallstone disease. Gastroenterology 110 (1996) 251-257
56. Yu P., Chen Q., Biancani P., et al. Membrane cholesterol alters gallbladder muscle contractility in prairie dogs. Am J Physiol 271 (1996) G56-G61
57. Stolk M.F., van Erpecum K.J., Peeters T.L., et al. Interdigestive gallbladder emptying, antroduodenal motility, and motilin release patterns are altered in cholesterol gallstone patients. Dig Dis Sci 46 (2001) 1328-1334
58. van Erpecum K.J., and vanBerge-Henegouwen G.P. Gallstones: an intestinal disease?. Gut 44 (1999) 435-438
59. Sackmann M, Aydemir U, Pauletzki JG et al. Factors determinating gallbladder clearance after shock-wave lithotripsy. 1990:734.
60. Pauletzki J.G., Althaus R., Holl J., et al. Gallbladder emptying and gallstone formation: a prospective study on gallstone recurrence. Gastroenterology 111 (1996) 765-771
61. Portincasa P., van Erpecum K.J., van de Meeberg P.C., et al. Apolipoprotein (Apo) E4 genotype and gallbladder motility influence speed of gallstone clearance and risk of recurrence after extracorporeal shock-wave lithotripsy. Hepatology 24 (1996) 580-587
62. Venneman N.G., vanBerge-Henegouwen G.P., Portincasa P., et al. Absence of apolipoprotein E4 genotype, good gallbladder motility and presence of solitary stones delay rather than prevent gallstone recurrence after extracorporeal shock wave lithotripsy. J Hepatol 35 (2001) 10-16
63. Festi D., Frabboni R., Bazzoli F., et al. Gallbladder motility in cholesterol gallstone disease. Effect of ursodeoxycholic acid administration and gallstone dissolution. Gastroenterology 99 (1990) 1779-1785
64. Ros E., Navarro S., Fernandez I., et al. Utility of biliary microscopy for the prediction of the chemical composition of gallstones and the outcome of dissolution therapy with ursodeoxycholic acid. Gastroenterology 91 (1986) 703-712
65. Choudhuri G., Agarwal D.K., Saraswat V.A., et al. Is duodenal bile representative of gallbladder bile? A comparative study. Scand J Gastroenterol 28 (1993) 920-923
66. Kaw M., and Brodmerkel Jr. G.J. ERCP, biliary crystal analysis, and sphincter of Oddi manometry in idiopathic recurrent pancreatitis. Gastrointest Endosc 55 (2002) 157-162
67. Paumgartner G., Carr-Locke D.L., Roda E., et al. Biliary stones: non-surgical therapeutic approach. Gastroenterol Int 1 (1988) 17-24
68. Lorusso D., Porcelli P., Pezzolla F., et al. Persistent dyspepsia after laparoscopic cholecystectomy. The influence of psychological factors. Scand J Gastroenterol 38 (2003) 653-658
69. Gracie W.A., and Ransohoff D.F. The natural history of silent gallstones: the "innocent" gallstone is not a myth. N Engl J Med 307 (1982) 798-800
70. McSherry C.K., Ferstenberg H., Calhoun W.F., et al. The natural history of diagnosed gallstone disease in symptomatic and asymptomatic patients. Ann Surg 202 (1985) 59-63
71. Barbara L., Sama C., and Et Morselli Labate A.M. A population study on the prevalence of gallstone disease: the Sirmione study. Hepatology 7 (1987) 913-917
72. Zubler J., Markowski G., Yale S., et al. Natural history of asymptomatic gallstones in family practice office practices. Arch Fam Med 7 (1998) 230-233
73. Gorard D.A., Healy J.C., O'Donnell L.J., et al. Inhibition of 5-hydroxytryptamine re-uptake impairs human gall- bladder emptying. Aliment Pharmacol Ther 8 (1994) 461-464
74. Portincasa P., Moschetta A., Di Ciaula A., et al. Changes of gallbladder and gastric dynamics in patients with acute hepatitis A. Eur J Clin Invest 31 (2001) 617-622
75. Fraquelli M., Bardella M.T., Peracchi M., et al. Gallbladder emptying and somatostatin and cholecystokinin plasma levels in celiac disease. Am J Gastroenterol 94 (1999) 1866-1870
76. Marciani L., Coleman N.S., Dunlop S.P., et al. Gallbladder contraction, gastric emptying and antral motility: Single visit assessment of upper GI function in untreated celiac disease using echo-planar MRI. J Magn Reson Imaging 22 (2005) 634-638
77. Gielkens H.A., Eddes E.H., Vecht J., et al. Gallbladder motility and cholecystokinin secretion in chronic pancreatitis: relationship with exocrine pancreatic function. J Hepatol 27 (1997) 306-312
78. Mizushima T., Ochi K., Ichimura M., et al. Pancreatic enzyme supplement improves dysmotility in chronic pancreatitis patients. J Gastroenterol Hepatol 19 (2004) 1005-1009
79. Damiao A.O., Sipahi A.M., Vezozzo D.P., et al. Gallbladder hypokinesia in Crohn's disease. Digestion 58 (1997) 458-463
80. Vu M.K., Gielkens H.A., van Hogezand R.A., et al. Gallbladder motility in Crohn disease: influence of disease localization and bowel resection. Scand J Gastroenterol 35 (2000) 1157-1162
81. Pereira S.P., Bain I.M., Kumar D., et al. Bile composition in inflammatory bowel disease: ileal disease and colectomy, but not colitis, induce lithogenic bile. Aliment Pharmacol Ther 17 (2003) 923-933
82. Masclee A.A., and Vu M.K. Gallbladder motility in inflammatory bowel diseases. Dig Liver Dis 35 supplement 3 (2003) S35-S38
83. Burgstaller M., Barthel S., and Et Kasper H. Diabetic gastroparesis and gallbladder disease. Ultrasound diagnosis after multiple-component meals. Dtsch Med Wochenschr 117 (1992) 1868-1873 (in German)
84. Catnach S.M., Ballinger A.B., Stevens M., et al. Erythromycin induces supranormal gall bladder contraction in diabetic autonomic neuropathy. Gut 34 (1993) 1123-1127
85. Dilengite M.A., Loria P., Menozzi D., et al. Effect of diabetic autonomic neuropathy on gall bladder kinetics in insulin-dependent diabetic patients. Eur J Gastroenterol Hepatol 6 (1994) 765-771
86. Fiorucci S., Scionti L., Bosso R., et al. Effect of erythromycin on gallbladder emptying in diabetic patients with and without autonomic neuropathy and high levels of motilin. Dig Dis Sci 37 (1992) 1671-1677
87. Guliter S., Yilmaz S., and Et Karakan T. Evaluation of gallbladder volume and motility in non-insulin-dependent diabetes mellitus patients using real-time ultrasonography. J Clin Gastroenterol 37 (2003) 288-291
88. Palasciano G., Portincasa P., Belfiore A., et al. Gallbladder volume and emptying in diabetics: the role of neuropathy and obesity. J Intern Med 231 (1992) 123-127
89. Raman P.G., Patel A., and Et Mathew V. Gallbladder disorders and type 2 diabetes mellitus-a clinic-based study. J Assoc Phys India 50 (2002) 887-890
90. Shaw S.J., Hajnal F., Lebovitz Y., et al. Gallbladder dysfunction in diabetes mellitus. Dig Dis Sci 38 (1993) 490-496
91. Stone B.G., Gavaler J.S., Belle S.H., et al. Impairment of gallbladder emptying in diabetes mellitus. Gastroenterology 95 (1988) 170-176
92. Tasdemir H.A., Cetinkaya M.C., Polat C., et al. Gallbladder motility in children with Down syndrome. J Pediatr Gastroenterol Nutr 39 (2004) 187-191
93. Portincasa P., Altomare D.F., Moschetta A., et al. The effect of acute oral erythromycin on gallbladder motility and on upper gastrointestinal symptoms in gastrectomized patients with and without gallstones: a randomized, placebo-controlled ultrasonographic study. Am J Gastroenterol 95 (2000) 3444-3451
94. Takahashi T., Yamamura T., Yokoyama E., et al. Impaired contractile motility of the gallbladder after gastrectomy. Am J Gastroenterol 81 (1986) 672-677
95. Moschetta A., Twickler T.B., Rehfeld J.F., et al. Effects of growth hormone deficiency and recombinant growth hormone therapy on postprandial gallbladder motility and cholecystokinin release. Dig Dis Sci 49 (2004) 529-534
96. Jonkers I.J., Smelt A.H., Ledeboer M., et al. Gall bladder dysmotility: a risk factor for gall stone formation in hypertriglyceridaemia and reversal on triglyceride lowering therapy by bezafibrate and fish oil. Gut 52 (2003) 109-115
97. Acalovschi M., Dumitrascu D.L., and Et Csakany I. Gastric and gall bladder emptying of a mixed meal are not coordinated in liver cirrhosis - a simultaneous sonographic study. Gut 40 (1997) 412-417
98. Acalovschi M., Dumitrascu D.L., and Et Nicoara C.D. Gallbladder contractility in liver cirrhosis: comparative study in patients with and without gallbladder stones. Dig Dis Sci 49 (2004) 17-24
99. Dumitrascu D.L., and Acalovschi M. Impaired gallbladder motility in liver cirrhosis: yes, but. Am J Gastroenterol 95 (2000) 3650-3651
100. Li C.P., Hwang S.J., Lee F.Y., et al. Evaluation of gallbladder motility in patients with liver cirrhosis: relationship to gallstone formation. Dig Dis Sci 45 (2000) 1109-1114
101. Pompili M., Rapaccini G.L., Caturelli E., et al. Gallbladder emptying, plasma levels of estradiol and progesterone, and cholecystokinin secretion in liver cirrhosis. Dig Dis Sci 40 (1995) 428-434
102. Portincasa P., Di Ciaula A., Palmieri V.O., et al. Effects of cholestyramine on gallbladder and gastric emptying in obese and lean subjects. Eur J Clin Invest 25 (1995) 746-753
103. Sari R., Balci M.K., Coban E., et al. Sonographic evaluation of gallbladder volume and ejection fraction in obese women without gallstones. J Clin Ultrasound 31 (2003) 352-357
104. Zapata R., Severin C., Manriquez M., et al. Gallbladder motility and lithogenesis in obese patients during diet-induced weight loss. Dig Dis Sci 45 (2000) 421-428
105. Moschetta A., Stolk M.F., Rehfeld J.F., et al. Severe impairment of postprandial cholecystokinin release and gall- bladder emptying and high risk of gallstone formation in acromegalic patients during Sandostatin LAR. Aliment Pharmacol Ther 15 (2001) 181-185
106. Redfern J.S., and Fortuner W.J. Octreotide-associated biliary tract dysfunction and gallstone formation: pathophysiology and management. Am J Gastroenterol 90 (1995) 1042-1052
107. Everson G.T. Gastrointestinal motility in pregnancy. Gastroenterol Clin North Am 21 (1992) 751-776
108. Radberg G., Asztely M., Cantor P., et al. Gastric and gallbladder emptying in relation to the secretion of cholecystokinin after a meal in late pregnancy. Digestion 42 (1989) 174-180
109. Thijs C., Knipschild P., and Et Leffers P. Pregnancy and gallstone disease: an empiric demonstration of the importance of specification of risk periods. Am J Epidemiol 134 (1991) 186-195
110. Van Bodegraven A.A., Bohmer C.J., Manoliu R.A., et al. Gallbladder contents and fasting gallbladder volumes during and after pregnancy. Scand J Gastroenterol 33 (1998) 993-997
111. van de Meeberg P.C., Portincasa P., Wolfhagen F.H., et al. Increased gall bladder volume in primary sclerosing cholangitis. Gut 39 (1996) 594-599
112. Tandon R.K., Jain R.K., and Et Garg P.K. Increased incidence of biliary sludge and normal gallbladder contractility in patients with high spinal cord injury. Gut 41 (1997) 682-687
113. Kalayci A.G., Albayrak D., Gunes M., et al. The incidence of gallbladder stones and gallbladder function in beta-thalassemic children. Acta Radiol 40 (1999) 440-443
114. Portincasa P., Moschetta A., Berardino M., et al. Impaired gallbladder motility and delayed orocecal transit contribute to pigment gallstone and biliary sludge formation in beta-thalassemia major adults. World J Gastroenterol 10 (2004) 2383-2390
115. Cano N., Cicero F., Ranier F., et al. Ultrasonographic study of gallbladder motility during total parenteral nutrition. Gastroenterology 91 (1986) 313-317