[The role of bile acids in the regulation of human gallbladder filling].

Fiziologicheskiĭ zhurnal Pub Date : 1993-07-01
V A Berezovskyĭ, T D Nykula, O B Dynnyk, I V Pavlyk, O M Korychenskyĭ
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Abstract

An artificial increase of a pool of bile acids due to administration of dehydrocholic, chenodesoxycholic acid preparations and dry bile in 22 healthy people and 179 patients with chronic cholecystitis has been studied for its effect on regulation of the gallbladder filling on an empty stomach using daily echocholecystometry. Filling of the gallbladder under artificial sequestration of bile acids during duodenal probing, enterosorption and cholatogenic diarrhea was studied in 55 patients with cholecystitis. It has been proved that an increase of the pool of bile acids induces intensification of the gallbladder filling on an empty stomach, while a decrease of the pool, vice versa, causes attenuation of its filling. It is found out a size of a pool of bile acids in the human organism is an important humoral factor in the physiological mechanism of the gallbladder filling regulation.

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胆汁酸在调节人类胆囊充盈中的作用。
在22名健康人群和179名慢性胆囊炎患者中,使用每日超声胆囊测量法研究了由于使用去氢胆酸、鹅去氧胆酸制剂和干胆汁而人为增加胆囊酸池对空腹胆囊充血调节的影响。本文对55例胆囊炎患者在十二指肠探查、肠吸收和致胆源性腹泻过程中人工隔离胆汁酸对胆囊充盈的影响进行了研究。已经证明,胆汁酸池的增加导致空腹时胆囊充盈的增强,而胆汁酸池的减少,反之亦然,导致其充盈的衰减。研究发现,胆汁酸池的大小是影响胆囊充盈调节生理机制的重要体液因素。
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