위암 환자에서 위절제술 후의 담낭운동 변화와 담석증에 관한 연구
Gallbladder Dysmotility and Gallstone Development after Gastrectomy in Gastric Cancer Patients
권영득, 박기혁, 천병렬, 유용운, 이한일, 박성환, 박기호, 주대현, 정덕수,
소속 상세정보
권영득 ( Kwon Young-Deuk )
대구가톨릭대학교 의과대학 외과학교실
박기혁 ( Park Ki-Hyuk )
대구가톨릭대학교 의과대학 외과학교실
천병렬 ( Chun Byung-Yeol )
경북대학교 의과대학 예방의학교실
유용운 ( Yoo Young-Oon )
대구가톨릭대학교 의과대학 외과학교실
이한일 ( Lee Han-Il )
대구가톨릭대학교 의과대학 외과학교실
박성환 ( Park Sung-Hwan )
대구가톨릭대학교 의과대학 외과학교실
박기호 ( Park Ki-Ho )
대구가톨릭대학교 의과대학 외과학교실
주대현 ( Joo Dae-Hyun )
대구가톨릭대학교 의과대학 외과학교실
정덕수 ( Chung Duck-Soo )
대구가톨릭대학교 의과대학 방사선과학교실
KMID : 0371320010600020213
Abstract
Purpose: Gallstone disease has been presumed to be a sequellae of gastrectomy. To know correlation between gallbladder disease and gastrectomy, we check anatomical and functional status of gallbladder with ultrasonogram in our study.
Methods: Gallbladder motility after gastrectomy was studied by means of measuring fasting and postprandial gallbladder volume using real time ultrasonography in 50 gastrectomized patients and in 28 controls (healthy but not operated gastric cancer patients) were selected as study subjects.
Results: Mean fasting and postprandial gallbladder volume was significantly increased in gastrectomized patient group (FV: 37.63±20.70 ml, PV: 11.50R 73;10.26 ml) than control group (FV: 22.17±10.35 ml, PV: 5.44±3.67 ml, p＜0.01). The ejection fraction of gallbladder in gastrectomized patient group (69.05±14.57%)was significantly smaller than control group (75.57±10.26%, p＜0.05).
Conclusion: The risk of gallbladder disease was independent of age, sex, and post-operative duration in our study. Gastrectomy may have the possibility of increasing the risk of gallbladder disease by causing gallbladder dysmotility and bile stasis. So, gallbladder motility evaluation would be helpful for prevention and understanding gallstone formation. Further study will be needed about the clinical benefits of prophylactic cholecystectomy during gastrectomy.
키워드
위절제술;담석;담낭운동
Gastrectomy;Gall bladder stone;Gall bladder motility
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