Ferraris V A
West J Med. 1986 Apr;144(4):437-40.
Based on results of long-term follow-up and pathophysiologic considerations in 38 consecutive patients, it was possible to speculate on the frequencies of the various causes of the empty gallbladder syndrome. In approximate percentages, these are as follows: bile stasis causing chronic acalculous cholecystitis, 47%; physiologic dysfunction of the gallbladder, 24%; psychogenic illness, 16%; sphincter of Oddi dysfunction, 13%; ulcerative colitis, 3%. Because as many as 30% to 35% of these patients will not benefit from cholecystectomy, I feel that it should be undertaken with caution in cases of this syndrome.
基于对38例连续患者的长期随访结果及病理生理因素的考量，推测出无胆囊综合征各种病因的发生频率。大致百分比情况如下：胆汁淤积导致慢性非结石性胆囊炎，47%；胆囊生理功能障碍，24%；精神性疾病，16%；Oddi括约肌功能障碍，13%；溃疡性结肠炎，3%。由于这些患者中多达30%至35%无法从胆囊切除术中获益，我认为对于该综合征患者，行胆囊切除术时应谨慎。
