Braverman D Z, Herbet D, Goldstein R, Persitz E, Eylath U, Jacobsohn W Z
Obstetrics Department, Shaare Zedek Medical Center, Jerusalem, Israel.
J Clin Gastroenterol. 1988 Dec;10(6):642-6. doi: 10.1097/00004836-198812000-00014.
Pregnancy-induced cholecystoparesis and prolonged intestinal transit are well known, but their duration after delivery and any relation to the rapid decline of serum progesterone have not been studied in the early postpartum period. We studied gallbladder and small intestinal motor function in 10 women during the third trimester of pregnancy and in the second and fourth days postpartum, comparing the results to a control group of 8 women during the follicular phase of the menstrual cycle. Gallbladder motor function was evaluated by real-time ultrasonography and intestinal transit time was measured by the lactulose hydrogen breath test. Postpartum correction of gallbladder and intestinal motor function is early and is initially related to the fall of serum progesterone. Other as yet unknown mechanisms operate later to achieve normalization of gallbladder motor function.
妊娠引起的胆囊排空延迟和肠道传输时间延长是众所周知的，但产后早期它们持续的时间以及与血清孕酮快速下降的任何关系尚未得到研究。我们研究了10名女性在妊娠晚期以及产后第二天和第四天的胆囊和小肠运动功能，并将结果与8名处于月经周期卵泡期的女性组成的对照组进行比较。通过实时超声评估胆囊运动功能，通过乳果糖氢呼气试验测量肠道传输时间。产后胆囊和肠道运动功能的恢复较早，最初与血清孕酮的下降有关。其他尚不清楚的机制随后起作用，以使胆囊运动功能恢复正常。
