Janowitz P, Swobodnik W, Wechsler J G, Janowitz A, Saal D, Ditschuneit H
Abteilung Innere Medizin II, Universität Ulm.
Klin Wochenschr. 1991 May 3;69(7):289-93. doi: 10.1007/BF01644757.
The daily administration of fish oil, containing 1.5 g omega-3-fatty acids causes a significant decrease in nucleation time (12.1 +/-7.3 vs. 2.0 +/- 1.2 days, p less than 0.001), as well as in biliary cholesterol saturation and biliary cholesterol composition in 13 healthy subjects. The nucleation time, cholesterol saturation index and biliary lipids showed no significant differences in 11 cholesterol gallstone patients after a six-week treatment period with omega-3-fatty acids. Taurocholate percentage increased significantly in the gallstone group (10.4 +/- 3.9 vs 13.5 +/- 1.7%, p less than 0.05). The levels of the other bile acids remained unchanged during the treatment period. Therefore, the incidence of gallstones might be increased after treatment with fish oil, containing omega-3-fatty acids.
对13名健康受试者每日服用含1.5克ω-3脂肪酸的鱼油,可使成核时间显著缩短(从12.1±7.3天降至2.0±1.2天,p<0.001),同时降低胆汁胆固醇饱和度和胆汁胆固醇成分。在11名胆固醇结石患者接受为期六周的ω-3脂肪酸治疗后,成核时间、胆固醇饱和指数和胆汁脂质无显著差异。结石组牛磺胆酸盐百分比显著增加(从10.4±3.9%增至13.5±1.7%,p<0.05)。治疗期间其他胆汁酸水平保持不变。因此,服用含ω-3脂肪酸的鱼油治疗后胆结石发病率可能会增加。