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Gallbladder contractility in patients with cirrhotic versus malignant ascites

Purpose The aim of this study was to evaluate differences in gallbladder contractility by measuring gallbladder wall thickness, fasting and residual gallbladder volume, and gallbladder ejection fraction in patients with cirrhotic and malignant ascites. Methods Twenty‐four patients (16 women and 8 me...

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Published in:Journal of clinical ultrasound 2002-10, Vol.30 (8), p.477-480
Main Authors: Sari, Ramazan, Yildirim, Bulent, Sevinc, Alper, Bahceci, Funda, Hilmioglu, Fatih
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creator Sari, Ramazan
Yildirim, Bulent
Sevinc, Alper
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description Purpose The aim of this study was to evaluate differences in gallbladder contractility by measuring gallbladder wall thickness, fasting and residual gallbladder volume, and gallbladder ejection fraction in patients with cirrhotic and malignant ascites. Methods Twenty‐four patients (16 women and 8 men) with malignant ascites (2 cervical, 2 colon, 2 stomach, 6 pancreatic, and 12 ovarian carcinomas), aged 59 ± 12 years, and 26 patients (14 women and 12 men) with cirrhotic ascites, aged 57 ± 16 years, were included in the study. After patients fasted overnight for 8 hours, gallbladder wall thickness, fasting gallbladder volume, and gallbladder volume and ejection fraction were measured sonographically at 10, 20, 30, 40, 50, 60, 70, 80, and 90 minutes after ingestion of a standard liquid test meal. Results The mean gallbladder wall thickness was higher in patients with cirrhotic ascites than in those with malignant ascites (5.5 ± 1.5 mm [standard deviation] versus 3.1 ± 0.6 mm, respectively; p < 0.001). The mean fasting gallbladder volume was also higher in patients with cirrhotic ascites than in those with malignant ascites (27.3 ± 11.5 cm3 versus 17.6 ± 8.9 cm3; p < 0.05). Patients with cirrhotic ascites had significantly higher mean postprandial gallbladder volumes and ejection fractions than did those with malignant ascites at all times except 10 minutes after the meal (p < 0.05). Conclusions Our findings suggest that gallbladder contractility is greater in patients with cirrhotic ascites than in patients with malignant ascites. © 2002 Wiley Periodicals, Inc. J Clin Ultrasound 30:477–480, 2002; Published online in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/jcu.10108
doi_str_mv 10.1002/jcu.10108
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Methods Twenty‐four patients (16 women and 8 men) with malignant ascites (2 cervical, 2 colon, 2 stomach, 6 pancreatic, and 12 ovarian carcinomas), aged 59 ± 12 years, and 26 patients (14 women and 12 men) with cirrhotic ascites, aged 57 ± 16 years, were included in the study. After patients fasted overnight for 8 hours, gallbladder wall thickness, fasting gallbladder volume, and gallbladder volume and ejection fraction were measured sonographically at 10, 20, 30, 40, 50, 60, 70, 80, and 90 minutes after ingestion of a standard liquid test meal. Results The mean gallbladder wall thickness was higher in patients with cirrhotic ascites than in those with malignant ascites (5.5 ± 1.5 mm [standard deviation] versus 3.1 ± 0.6 mm, respectively; p &lt; 0.001). The mean fasting gallbladder volume was also higher in patients with cirrhotic ascites than in those with malignant ascites (27.3 ± 11.5 cm3 versus 17.6 ± 8.9 cm3; p &lt; 0.05). Patients with cirrhotic ascites had significantly higher mean postprandial gallbladder volumes and ejection fractions than did those with malignant ascites at all times except 10 minutes after the meal (p &lt; 0.05). Conclusions Our findings suggest that gallbladder contractility is greater in patients with cirrhotic ascites than in patients with malignant ascites. © 2002 Wiley Periodicals, Inc. J Clin Ultrasound 30:477–480, 2002; Published online in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/jcu.10108</description><identifier>ISSN: 0091-2751</identifier><identifier>EISSN: 1097-0096</identifier><identifier>DOI: 10.1002/jcu.10108</identifier><identifier>PMID: 12242736</identifier><identifier>CODEN: JCULDD</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Abdomen ; Adult ; Aged ; ascites ; Ascites - etiology ; Ascites - physiopathology ; Biological and medical sciences ; cirrhosis ; Female ; Gallbladder - diagnostic imaging ; Gallbladder - pathology ; Gallbladder - physiopathology ; gallbladder contractility ; Gallbladder Diseases - diagnostic imaging ; Gallbladder Diseases - physiopathology ; Gallbladder Emptying ; gallbladder wall thickening ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Liver Cirrhosis, Biliary - complications ; Liver Cirrhosis, Biliary - diagnostic imaging ; Liver Cirrhosis, Biliary - pathology ; Liver Cirrhosis, Biliary - physiopathology ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; malignancy ; Medical sciences ; Middle Aged ; Peritoneal Neoplasms - complications ; Peritoneal Neoplasms - diagnostic imaging ; Peritoneal Neoplasms - pathology ; Peritoneal Neoplasms - physiopathology ; Tumors ; Ultrasonography</subject><ispartof>Journal of clinical ultrasound, 2002-10, Vol.30 (8), p.477-480</ispartof><rights>Copyright © 2002 Wiley Periodicals, Inc.</rights><rights>2002 INIST-CNRS</rights><rights>Copyright 2002 Wiley Periodicals, Inc. J Clin Ultrasound 30:477-480, 2002; Published online in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/jcu.10108</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4208-ca0f63229610dbd44ad4aad7a07f680562d25234ad622b27f752d9fb0bfe2ac83</citedby><cites>FETCH-LOGICAL-c4208-ca0f63229610dbd44ad4aad7a07f680562d25234ad622b27f752d9fb0bfe2ac83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=13952470$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12242736$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sari, Ramazan</creatorcontrib><creatorcontrib>Yildirim, Bulent</creatorcontrib><creatorcontrib>Sevinc, Alper</creatorcontrib><creatorcontrib>Bahceci, Funda</creatorcontrib><creatorcontrib>Hilmioglu, Fatih</creatorcontrib><title>Gallbladder contractility in patients with cirrhotic versus malignant ascites</title><title>Journal of clinical ultrasound</title><addtitle>J. Clin. Ultrasound</addtitle><description>Purpose The aim of this study was to evaluate differences in gallbladder contractility by measuring gallbladder wall thickness, fasting and residual gallbladder volume, and gallbladder ejection fraction in patients with cirrhotic and malignant ascites. Methods Twenty‐four patients (16 women and 8 men) with malignant ascites (2 cervical, 2 colon, 2 stomach, 6 pancreatic, and 12 ovarian carcinomas), aged 59 ± 12 years, and 26 patients (14 women and 12 men) with cirrhotic ascites, aged 57 ± 16 years, were included in the study. After patients fasted overnight for 8 hours, gallbladder wall thickness, fasting gallbladder volume, and gallbladder volume and ejection fraction were measured sonographically at 10, 20, 30, 40, 50, 60, 70, 80, and 90 minutes after ingestion of a standard liquid test meal. Results The mean gallbladder wall thickness was higher in patients with cirrhotic ascites than in those with malignant ascites (5.5 ± 1.5 mm [standard deviation] versus 3.1 ± 0.6 mm, respectively; p &lt; 0.001). The mean fasting gallbladder volume was also higher in patients with cirrhotic ascites than in those with malignant ascites (27.3 ± 11.5 cm3 versus 17.6 ± 8.9 cm3; p &lt; 0.05). Patients with cirrhotic ascites had significantly higher mean postprandial gallbladder volumes and ejection fractions than did those with malignant ascites at all times except 10 minutes after the meal (p &lt; 0.05). Conclusions Our findings suggest that gallbladder contractility is greater in patients with cirrhotic ascites than in patients with malignant ascites. © 2002 Wiley Periodicals, Inc. J Clin Ultrasound 30:477–480, 2002; Published online in Wiley InterScience (www.interscience.wiley.com). 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Abdomen</subject><subject>Humans</subject><subject>Liver Cirrhosis, Biliary - complications</subject><subject>Liver Cirrhosis, Biliary - diagnostic imaging</subject><subject>Liver Cirrhosis, Biliary - pathology</subject><subject>Liver Cirrhosis, Biliary - physiopathology</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>malignancy</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Peritoneal Neoplasms - complications</subject><subject>Peritoneal Neoplasms - diagnostic imaging</subject><subject>Peritoneal Neoplasms - pathology</subject><subject>Peritoneal Neoplasms - physiopathology</subject><subject>Tumors</subject><subject>Ultrasonography</subject><issn>0091-2751</issn><issn>1097-0096</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><recordid>eNqF0MFu1DAQBmALgei2cOAFUC4g9RA6nsT25ohWdKEqpRKUHq2J41AXb7K1nZZ9e9zuQk-I01jWNzOan7FXHN5xADy6NlN-cJg_YTMOjSoBGvmUzXLhJSrB99h-jNcAIIUQz9keR6xRVXLGPi_J-9ZT19lQmHFIgUxy3qVN4YZiTcnZIcXizqWrwrgQrsbkTHFrQ5xisSLvfgw0pIKiccnGF-xZTz7al7t6wC6OP3xbfCxPvyw_Ld6flqZGmJeGoJcVYiM5dG1X19TVRJ0iUL2cg5DYocAqf0vEFlWvBHZN30LbWyQzrw7Y2-3cdRhvJhuTXrlorPc02HGKWiHn-cLmvxABBW_gHh5uoQljjMH2eh3cisJGc9D3Iescsn4IOdvXu6FTu7Ldo9ylmsGbHci5kO8DDcbFR1c1AmsF2R1t3Z3zdvPvjfpkcfFndbntcDHZX387KPzUUlVK6Muzpf56jueX36ulPqt-A34Coq0</recordid><startdate>200210</startdate><enddate>200210</enddate><creator>Sari, Ramazan</creator><creator>Yildirim, Bulent</creator><creator>Sevinc, Alper</creator><creator>Bahceci, Funda</creator><creator>Hilmioglu, Fatih</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200210</creationdate><title>Gallbladder contractility in patients with cirrhotic versus malignant ascites</title><author>Sari, Ramazan ; Yildirim, Bulent ; Sevinc, Alper ; Bahceci, Funda ; Hilmioglu, Fatih</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4208-ca0f63229610dbd44ad4aad7a07f680562d25234ad622b27f752d9fb0bfe2ac83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Abdomen</topic><topic>Adult</topic><topic>Aged</topic><topic>ascites</topic><topic>Ascites - etiology</topic><topic>Ascites - physiopathology</topic><topic>Biological and medical sciences</topic><topic>cirrhosis</topic><topic>Female</topic><topic>Gallbladder - diagnostic imaging</topic><topic>Gallbladder - pathology</topic><topic>Gallbladder - physiopathology</topic><topic>gallbladder contractility</topic><topic>Gallbladder Diseases - diagnostic imaging</topic><topic>Gallbladder Diseases - physiopathology</topic><topic>Gallbladder Emptying</topic><topic>gallbladder wall thickening</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Liver Cirrhosis, Biliary - complications</topic><topic>Liver Cirrhosis, Biliary - diagnostic imaging</topic><topic>Liver Cirrhosis, Biliary - pathology</topic><topic>Liver Cirrhosis, Biliary - physiopathology</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>malignancy</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Peritoneal Neoplasms - complications</topic><topic>Peritoneal Neoplasms - diagnostic imaging</topic><topic>Peritoneal Neoplasms - pathology</topic><topic>Peritoneal Neoplasms - physiopathology</topic><topic>Tumors</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sari, Ramazan</creatorcontrib><creatorcontrib>Yildirim, Bulent</creatorcontrib><creatorcontrib>Sevinc, Alper</creatorcontrib><creatorcontrib>Bahceci, Funda</creatorcontrib><creatorcontrib>Hilmioglu, Fatih</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical ultrasound</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sari, Ramazan</au><au>Yildirim, Bulent</au><au>Sevinc, Alper</au><au>Bahceci, Funda</au><au>Hilmioglu, Fatih</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gallbladder contractility in patients with cirrhotic versus malignant ascites</atitle><jtitle>Journal of clinical ultrasound</jtitle><addtitle>J. Clin. Ultrasound</addtitle><date>2002-10</date><risdate>2002</risdate><volume>30</volume><issue>8</issue><spage>477</spage><epage>480</epage><pages>477-480</pages><issn>0091-2751</issn><eissn>1097-0096</eissn><coden>JCULDD</coden><abstract>Purpose The aim of this study was to evaluate differences in gallbladder contractility by measuring gallbladder wall thickness, fasting and residual gallbladder volume, and gallbladder ejection fraction in patients with cirrhotic and malignant ascites. Methods Twenty‐four patients (16 women and 8 men) with malignant ascites (2 cervical, 2 colon, 2 stomach, 6 pancreatic, and 12 ovarian carcinomas), aged 59 ± 12 years, and 26 patients (14 women and 12 men) with cirrhotic ascites, aged 57 ± 16 years, were included in the study. After patients fasted overnight for 8 hours, gallbladder wall thickness, fasting gallbladder volume, and gallbladder volume and ejection fraction were measured sonographically at 10, 20, 30, 40, 50, 60, 70, 80, and 90 minutes after ingestion of a standard liquid test meal. Results The mean gallbladder wall thickness was higher in patients with cirrhotic ascites than in those with malignant ascites (5.5 ± 1.5 mm [standard deviation] versus 3.1 ± 0.6 mm, respectively; p &lt; 0.001). The mean fasting gallbladder volume was also higher in patients with cirrhotic ascites than in those with malignant ascites (27.3 ± 11.5 cm3 versus 17.6 ± 8.9 cm3; p &lt; 0.05). Patients with cirrhotic ascites had significantly higher mean postprandial gallbladder volumes and ejection fractions than did those with malignant ascites at all times except 10 minutes after the meal (p &lt; 0.05). Conclusions Our findings suggest that gallbladder contractility is greater in patients with cirrhotic ascites than in patients with malignant ascites. © 2002 Wiley Periodicals, Inc. J Clin Ultrasound 30:477–480, 2002; Published online in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/jcu.10108</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>12242736</pmid><doi>10.1002/jcu.10108</doi><tpages>4</tpages></addata></record>
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subjects Abdomen
Adult
Aged
ascites
Ascites - etiology
Ascites - physiopathology
Biological and medical sciences
cirrhosis
Female
Gallbladder - diagnostic imaging
Gallbladder - pathology
Gallbladder - physiopathology
gallbladder contractility
Gallbladder Diseases - diagnostic imaging
Gallbladder Diseases - physiopathology
Gallbladder Emptying
gallbladder wall thickening
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Liver Cirrhosis, Biliary - complications
Liver Cirrhosis, Biliary - diagnostic imaging
Liver Cirrhosis, Biliary - pathology
Liver Cirrhosis, Biliary - physiopathology
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
malignancy
Medical sciences
Middle Aged
Peritoneal Neoplasms - complications
Peritoneal Neoplasms - diagnostic imaging
Peritoneal Neoplasms - pathology
Peritoneal Neoplasms - physiopathology
Tumors
Ultrasonography
title Gallbladder contractility in patients with cirrhotic versus malignant ascites
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