Köksoy F N, Bulut T, Köse H, Soybir G, Yalçin O, Aker Y
Department of Surgery of Taksim Hospital, Istanbul, Turkey.
J R Coll Surg Edinb. 1994 Jun;39(3):164-7.
In this prospective, clinical study, four groups, each consisting of 12 patients were established to determine how gastric emptying is influenced in cholelithiasis with accompanied flatulent dyspepsia and the relationship of symptoms and gastric emptying after cholecystectomy: group 1--healthy people; group 2--patients with dyspeptic cholelithiasis; group 3--patients with no dyspepsia after cholecystectomy; group 4--patients with dyspepsia after cholecystectomy. Groups are compared according to solid phase gastric emptying scintigraphies performed with Tc 99m sulphur colloid bound with scrambled eggs. Gastric emptying delayed in groups 2 (P < 0.001) and 4 (P < 0.005) postprandially and did not differ in the group 3 (P > 0.005). These results demonstrate that dyspepsia, in cholelithiasis and persisting after cholecystectomy, has a close relation with delay in gastric emptying.
在这项前瞻性临床研究中，设立了四组，每组由12名患者组成，以确定胆结石伴肠胃胀气性消化不良时胃排空如何受到影响，以及胆囊切除术后症状与胃排空之间的关系：第1组——健康人；第2组——消化不良性胆结石患者；第3组——胆囊切除术后无消化不良的患者；第4组——胆囊切除术后有消化不良的患者。根据用与炒鸡蛋结合的锝99m硫化胶体进行的固相胃排空闪烁扫描对各组进行比较。第2组（P<0.001）和第4组（P<0.005）餐后胃排空延迟，第3组无差异（P>0.005）。这些结果表明，胆结石及胆囊切除术后持续存在的消化不良与胃排空延迟密切相关。
