Delamarre J, Capron J P, Joly J P, Rémond A, Audebert M, Murat J L, Revert R, Trinez G
J Radiol. 1984 Mar;65(3):133-6.
Gallbladder emptying was evaluated in 15 adult celiac disease patients by oral cholecystography or ultrasonography, after fatty meal or cholecystokinin stimulation. Gallbladder inertia was found in 13 cases. Our study agrees with previously reported results; however it is the first one in which this abnormality was demonstrated by ultrasonography. Our findings may suggest that gallbladder inertia is due to duodenal release of an inactive endogenous cholecystokinin. Control studies demonstrates that gallbladder inertia is reversible after gluten-free diet, recurs with relapse, and thus represents a true celiac disease sign, and not an associated condition. Finally, our cases suggest that gallbladder inertia may be radiologically evident before clinical features of malabsorption become apparent. Awareness of this possibility may persuade the radiologist to research in this condition an occult celiac disease.
通过口服胆囊造影术或超声检查，在15例成年乳糜泻患者进食脂肪餐或注射胆囊收缩素刺激后评估胆囊排空情况。发现13例存在胆囊运动迟缓。我们的研究与先前报道的结果一致；然而，这是第一项通过超声检查证实这种异常情况的研究。我们的研究结果可能表明，胆囊运动迟缓是由于十二指肠释放无活性的内源性胆囊收缩素所致。对照研究表明，胆囊运动迟缓在无麸质饮食后是可逆的，复发时会再次出现，因此是乳糜泻的一个真正体征，而非相关病症。最后，我们的病例表明，在吸收不良的临床特征出现之前，胆囊运动迟缓在放射学上可能就已明显。意识到这种可能性可能会促使放射科医生在这种情况下排查隐匿性乳糜泻。
