RT Journal
A1 Merrell RC, Miller-Crotchett P, Lowry P
T1 GAllbladder response to enteral lipids in injured patients
JF Archives of Surgery
JO Archives of Surgery
YR 1989
FD March 1
VO 124
IS 3
SP 301
OP 302
DO 10.1001/archsurg.1989.01410030047008
UL http://dx.doi.org/10.1001/archsurg.1989.01410030047008
AB • Severely injured patients are at risk for complications of gallbladder stasis in a spectrum from sludge formation and cystic duct occlusion by inspissation and, subsequently, acalculous cholecystitis. In a double-blind randomized trial, the effect of enteral lipids on the ability of the gallbladder to clear itself was tested. The gallbladder was assessed by ultrasonography for acute contractions, sludge, and dilatation on days 1, 3, and 7 after injury. There were no significant differences between patients who received enteral lipids and controls. Both groups showed modest enlargement of the gallbladder and failure of contraction. In a population at risk for biliary stasis following severe trauma, standard enteral lipids did not elicit, acutely or chronically, an appropriate reflexive evacuation of the gallbladder.(Arch Surg 1989;124:301-302)