medigraphic.com
Órgano Oficial de la Asociación Mexicana de Hepatología

2007, Number 3

<< Back Next >>

Ann Hepatol 2007; 6 (3)

Evaluation of gallbladder motility: comparison of two-dimensional and three-dimensional ultrasonography

Stads S, Venneman NG, Scheffer RCH, Samsom M, van EKJ

Language: English
References: 24
Page: 164-169
PDF size: 188.53 Kb.


ABSTRACT

Since impaired gallbladder emptying contributes to gallstone formation, the evaluation of gallbladder motility requires accurate methodology. Recently developed 3-dimensional ultrasonography may take into account various gallbladder shapes more accurately than conventional 2-dimensional ultrasonography. Therefore, volumes of water-filled balloons of various sizes were determined in vitro by 2-dimensional ultrasonography with the sum of cylinders method and by 3-dimensional ultrasonography. Also, in 15 gallstone patients and 6 healthy volunteers, fasting gallbladder volumes and postprandial motility were determined by both methods. Volumes of water-filled balloons as measured by both methods correlated strongly with true volumes (R= 0.93 for 2-dimensional and R = 0.98 for 3-dimensional ultrasonography). Gallbladder volumes measured by both methods were also correlated (R = 0.66, P ‹ 0.001). In gallstone patients, 3-dimensional ultrasonography yielded smaller gallbladder volumes than 2-dimensional ultrasonography (P = 0.007), but not in healthy subjects. With both methods, gallstone patients exhibited decreased postprandial gallbladder motility compared to healthy subjects. In conclusion, gallbladder volume measurements by 3-dimensional and 2-dimensional ultrasonography are strongly correlated. Nevertheless, in gallstone patients, gallbladder volumes by 3-dimensional ultrasonography tend to be smaller than by 2-dimensional ultrasonography, possibly due to interference of gallstones with the volume measurement.


REFERENCES

  1. Barbara L, Sama C, Morselli Labate AM, Taroni F, Rusticali AG, Festi D, Sapio C, et al. A population study on the prevalence of gallstone disease: the Sirmione Study. Hepatology 1987; 7: 913-17.

  2. van Erpecum KJ, Berge Henegouwen GP, Stoelwinder B, Stolk MF, Eggink WF, Govaert WH. Cholesterol and pigment gallstone disease: comparison of the reliability of three bile tests for differentiation between the two stone types. Scand J Gastroenterol 1988; 23: 948-54.

  3. van Erpecum KJ, Berge Henegouwen GP, Stoelwinder B, Schmidt YM, Willekens FL. Bile concentration is a key factor for nucleation of cholesterol crystals and cholesterol saturation index in gallbladder bile of gallstone patients. Hepatology 1990; 11: 1-6.

  4. van Erpecum KJ, Stolk MF, van den Broek AM, Renooij W, van de Heijning BJ, Berge Henegouwen GP. Bile concentration promotes nucleation of cholesterol monohydrate crystals by increasing the cholesterol concentration in the vesicles. Eur J Clin Invest 1993; 23: 283-88.

  5. Stolk MF, van Erpecum KJ, Peeters TL, Samsom M, Smout AJ, Akkermans LM, vanBerge-Henegouwen GP. Interdigestive gallbladder emptying, antroduodenal motility, and motilin release patterns are altered in cholesterol gallstone patients. Dig Dis Sci 2001; 46: 1328-34.

  6. Everson GT, McKinley C, Lawson M, Johnson M, Kern F, Jr. Gallbladder function in the human female: effect of the ovulatory cycle, pregnancy, and contraceptive steroids. Gastroenterology 1982; 82: 711-19.

  7. Palasciano G, Serio G, Portincasa P, Palmieri V, Fanelli M, Velardi A, Calo’ GB, et al. Gallbladder volume in adults, and relationship to age, sex, body mass index, and gallstones: a sonographic population study. Am J Gastroenterol 1992; 87: 493-97.

  8. Hussaini S, Murphy G, Kennedy C, Besser G, Wass J, Dowling R. The role of bile composition and physical chemistry in the pathogenesis of octreotide-associated gallbladder stones. Gastroenterology 1994; 107: 1503-13.

  9. Venneman NG, Renooij W, Rehfeld JF, vanBerge-Henegouwen GP, Go PM, Broeders IA, van Erpecum KJ. Small gallstones, preserved gallbladder motility, and fast crystallization are associated with pancreatitis. Hepatology 2005; 41: 738-46.

  10. van Erpecum KJ, Venneman NG, Portincasa P, vanBerge-Henegouwen GP. Review article: agents affecting gall-bladder motility—role in treatment and prevention of gallstones. Aliment Pharmacol Ther 2000; 14 (Suppl 2): 66-70.

  11. Shaffer EA, McOrmond P, Duggan H. Quantitative cholescintigraphy: assessment of gallbladder filling and emptying and duodenogastric reflux. Gastroenterology 1980; 79: 899-906.

  12. Krishnamurthy GT, Bobba VR, Kingston E. Radionuclide ejection fraction: a technique for quantitative analysis of motor function of the human gallbladder. Gastroenterology 1981; 80: 482-90.

  13. Radberg G, Asztely M, Moonen M, Svanvik J. Contraction and evacuation of the gallbladder studied simultaneously by ultrasonography and 99mTc-labeled diethyl-iminodiacetic acid scintigraphy. Scand J Gastroenterol 1993; 28: 709-13.

  14. Dodds WJ, Groh WJ, Darweesh RM, Lawson TL, Kishk SM, Kern MK. Sonographic measurement of gallbladder volume. AJR Am J Roentgenol 1985; 145: 1009-11.

  15. Everson G, Braverman D, Johnson M, Kern FJ. A critical evaluation of real-time ultrasonography for the study of gallbladder volume and contraction. Gastroenterology 1980; 79: 40-46.

  16. Stolk MF, van Erpecum KJ, van Berge Henegouwen GP, Kesselring OF, Hopman WP. Gallbladder volume and contraction measured by sum-of-cylinders method compared with ellipsoid and area-length methods. Acta Radiol 1990; 31: 591-96.

  17. Gilja OH, Thune N, Matre K, Hausken T, Odegaard S, Berstad A. In vitro evaluation of three-dimensional ultrasonography in volume estimation of abdominal organs. Ultrasound Med Biol 1994; 20: 157-65.

  18. Scheffer RC, Gooszen HG, Wassenaar EB, Samsom M. Relationship between partial gastric volumes and dyspeptic symptoms in fundoplication patients: a 3D ultrasonographic study. Am J Gastroenterol 2004; 99: 1902-9.

  19. Mundt MW, Hausken T, Smout AJ, Samsom M. Relationships between gastric accommodation and gastrointestinal sensations in healthy volunteers. A study using the barostat technique and two- and three-dimensional ultrasonography. Dig Dis Sci 2005; 50: 1654-60.

  20. Hashimoto S, Goto H, Hirooka Y, Itoh A, Ishiguro Y, Kojima S, Hirai T, et al. An evaluation of three-dimensional ultrasonography for the measurement of gallbladder volume. Am J Gastroenterol 1999; 94: 3492-96.

  21. Yoon HJ, Kim PN, Kim AY, Lee MG. Three-dimensional sonographic evaluation of gallbladder contractility: comparison with cholescintigraphy. J Clin Ultrasound 2006; 34: 123-27.

  22. Pauletzki J, Althaus R, Holl J, Sackmann M, Paumgartner G. Gallbladder emptying and gallstone formation: a prospective study on gallstone recurrence. Gastroenterology 1996; 111: 765-71.

  23. van Erpecum K, vanBerge-Henegouwen G, Stolk M, Hopman W, Jansen J, Lamers C. Fasting gallbladder volume, postprandial emptying and cholecystokinin release in gallstone patients and normal subjects. J Hepatol 1992; 14: 194-202.

  24. Portincasa P, van Erpecum K, van de Meeberg P, Dallinga-Thie G, de Bruijn T, van Berge Henegouwen G. Apolipoprotein E4 genotype and gallbladder motility influence speed of gallstone clearance and risk of recurrence after extracorporeal shock-wave lithotripsy. Hepatology 1996; 24: 580-587.




2020     |     www.medigraphic.com