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Changes in gallbladder motor function during the female cycle — a risk factor leading to gallstone formation? (1982)

Braun, B. ; Dormeyer, H. H.

Springer

Journal of molecular medicine 60 (1982), S. 1357-1362

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ISSN: 1432-1440

Keywords: Gallbladder motor function ; Gallstone formation ; Gallbladder ultrasonography ; Gallbladder contraction ; Gallbladder refilling ; Gallensteinentstehung ; Gallenblasenkontraktion ; Motorische Gallenblasenfunktion ; Gallenblasenfüllung ; Ultraschalldiagnostik

Source: Springer Online Journal Archives 1860-2000

Topics: Medicine

Description / Table of Contents: Zusammenfassung Bei 8 Frauen mit stabilem Zyklus wurden mittels Sonographie das Gallenblasenvolumen bestimmt und in der Progesteron- sowie der Östrogenphase des Zyklus die Gallenblasenkontraktion nach oraler Reizmahlzeit und die spontane Wiederauffüllung der entleerten Gallenblase quantitativ untersucht. Zur Volumenberechnung wurde die Formel eines Drehellipsoids verwandt, die sich im Modellversuch als hinreichend exakt erwiesen hatte. Die intraindividuellen Vergleichsuntersuchungen zeigten in der Progesteronphase (21. oder 22. Tag) gegenüber der östrogenphase (12. oder 13. Tag) statistisch gesicherte größere Nüchternvolumina, höhere Residualvolumina nach Kontraktion und eine langsamere Gallenblasenentleerung sowie eine verzögerte Wiederauffüllung der entleerten Gallenblase. Dem hormonal modifizierten Kontraktionsverhalten und der unterschiedlich ablaufenden Gallenblasenfüllung könnte im Rahmen der Gallensteinentstehung eine wesentliche Bedeutung zukommen.

Notes: Summary The gallbladder volume of eight women with stable cycles was determined by sonography. Furthermore, gallbladder contraction — following an orally administered fatty meal and the spontaneous refilling of the empty gallbladder — was quantitatively examined. The formula of a rotation ellipsoid, which has been proven to be adequately accurate in in vitro studies, was used for calculating the gallbladder volume. In the gestagen phase (21st or 22nd day) the intraindividual studies showed greater fasting volumes, higher residual volumes after contraction, slower gallbladder emptying, and retarded refilling of the empty gallbladder as compared to the estrogen phase (12th or 13th day). The hormonally modified contraction behavior and the differing course of gallbladder filling may play a major role in the pathogenesis of gallstone formation.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1007/BF01716215

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Significance of the inner-surface structure of small-caliber prosthetic blood vessels in relation to the development, presence, and fate of a neo-intima. A morphological evaluation (1984)

Hess, F. ; Jerusalem, C. ; Grande, P. ; [et al.]

Hoboken, NJ : Wiley-Blackwell

Journal of Biomedical Materials Research 18 (1984), S. 745-755

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ISSN: 0021-9304

Keywords: Chemistry ; Polymer and Materials Science

Source: Wiley InterScience Backfile Collection 1832-2000

Topics: Medicine , Technology

Notes: Microvascular prostheses with three different inner surface structures were examined morphologically 1-18 months after implantation to evaluate the presence and structure of the neo-intima. Fibrous polyurethane tubes (length: 5-10 mm, inner diameter: 1.5 mm) were implanted in the rat abdominal aorta in group A with a fibrillar inner structure (pore sizes 20-50 m̈m), and in group B the inner fibrillar structure was coated with an impermeable continuous silicon sheet. Expanded polytetrafluorethylene vascular prostheses (length: 40 mm, inner diameter: 4 mm) were implanted in the dog carotid artery (group C). The specimens were examined by light microscopy and scanning electron microscopy. A continuous and permanent neointima was only found in the prostheses with the porous fibrillar inner structure (group A). The thin new lining sheet was well attached to the prosthetic wall by cellular protrusions. In the silicon-coated prostheses (group B) also a continuous neo-intima had developed which, however, was irregular, thicker, and not anchored to the prosthetic wall. The expanded polytetrafluorethylene prostheses (group C) showed also after 1 year only incomplete lining with a neo-intima. Fresh blood cell deposits could be observed in the unlined prosthetic wall. It is concluded that a continuous lining of vascular grafts with a thin neo-intima is only achieved if the cells invading the prostheses from the anastomotic areas can anchore their cytoplasmic protrusions onto an appropriately structured inner surface. If these anchoring facilities are not provided, the unattached neo-intima will thicken, interfering with the patency of these microvascular prostheses, or fragments of the neo-intima or alternatively mural thrombi may constantly strip off and embolize.

Additional Material: 7 Ill.