TY  - JOUR
T1  - GAllbladder response to enteral lipids in injured patients
AU  - Merrell RC, Miller-Crotchett P, Lowry P
Y1  - 1989/03/01
N1  - 10.1001/archsurg.1989.01410030047008
JO  - Archives of Surgery
SP  - 301
EP  - 302
VL  - 124
IS  - 3
N2  - • 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)
SN  - 0004-0010
M3  - doi: 10.1001/archsurg.1989.01410030047008
UR  - http://dx.doi.org/10.1001/archsurg.1989.01410030047008
ER  -