The general function of the gall bladder. Do species lacking a gall bladder possess its functional equivalent? the bile and pigment output of various species of animals

1937 ◽  
Vol 10 (3) ◽  
pp. 365-383 ◽  
Author(s):  
C. R. Schmidt ◽  
A. C. Ivy
1922 ◽  
Vol 35 (2) ◽  
pp. 127-140 ◽  
Author(s):  
Philip D. McMaster

In a previous paper the point has been brought out that the influence of the gall bladder upon the bile differs entirely from that of the ducts, the one organ acting to concentrate the secretion markedly and the other to dilute it slightly. The question arises, in species lacking a gall bladder, whether the concentrating function of this organ will be found lodged in the ducts. To test the point, observations have been made upon the mouse and rat, since these animals though so nearly related have, the mouse, a gall bladder and the rat, none. The normal bile was first studied. Both animals were found to secrete larger quantities than do cats and dogs, but less than the guinea pig and rabbit. Methods were worked out for the quantitation of the pigment which was used as the index to changes in concentration. Bladder bile of the mouse was regularly found to be more concentrated than that collected from the common duct of the same animal. The bile collecting during stasis regularly showed a great increase in pigment content, such as in other species is brought about by the action of the gall bladder. In the rat, on the other hand, stasis bile never became more concentrated in pigment than the normal. The gall bladder, then, is not only absent from the rat in form, but in one at least of its important functions. That its other obvious function—that of a reservoir—cannot be assumed in the rat by the ducts would seem to be indicated, not only by the small size of these channels, but by the recent observation of Mann that the tonus of the sphincter of Oddi is almost negligible in the rat, in contradistinction to animals which possess a gall bladder. It is an interesting fact that the bile of the rat, which as has been said, undergoes no condensation of bulk after leaving the liver, contains on the average eight times as much pigment as does the liver bile of the mouse which is submitted to concentration. Whether it is correspondingly strong in substances useful for digestion, and therefore ab initio requires no concentration, is a matter upon which little can be said at present. However, in this connection the fact that the bulk of bile secreted per gram of liver weight is identical in both animals may be significant. Although this output is the same, the mouse liver when compared with the body weight (1 to 14.6) is relatively larger than that of the rat (1 to 21.7), so that the mouse secretes somewhat more bile per 100 gm. of body weight. This bile as it comes from the liver is but one-eighth as strong at least in pigment as rat bile, but the concentrating activity of the gall bladder is so great that the products yielded to the intestine may become not dissimilar.


1959 ◽  
Vol 36 (2) ◽  
pp. 251-255 ◽  
Author(s):  
Richard S. Wilbur ◽  
Robert J. Bolt

1957 ◽  
Vol 32 (4) ◽  
pp. 666-674 ◽  
Author(s):  
Raymond A. Gagliardi ◽  
Philip D. Gelbach
Keyword(s):  

Swiss Surgery ◽  
2001 ◽  
Vol 7 (1) ◽  
pp. 28-31 ◽  
Author(s):  
Teebken ◽  
Bartels ◽  
Fangmann ◽  
Nagel ◽  
Klempnauer

Ein 58jähriger Mann wurde mit Übelkeit, Oberbauchschmerzen, einem palpablen Tumor im rechten oberen Epigastrium und begleitendem Fieber aber fehlender Leukozytose und CRP-Erhöhung aufgenommen. Sowohl die Ultraschalluntersuchung als auch eine im Anschluss durchgeführte Computertomographie deuteten auf einen malignen Tumor der Gallenblase mit Infiltration der Leber und begleitender Abszessformation in den Segmenten 4b und 3 hin. Die Indikation zur Entfernung des Tumors im Sinne einer Hemihepatektomie links mit Cholezystektomie und Abszessdrainage wurde gestellt. Intraoperativ fand sich dann jedoch eine chronisch-eitrige Cholezystitis ohne Beteiligung der Leber selbst, sodass nur eine Cholezystektomie durchgeführt werden musste. Die histologische Untersuchung der Gallenblase erbrachte keinen Hinweis auf ein malignes Geschehen. Der Patient erholte sich gut von dem operativen Eingriff und konnte sieben Tage später entlassen werden. Diese Fallbeschreibung zeigt die Probleme auf, die bei der Differentialdiagnostik von entzündlichen und malignen Gallenblasenerkrankungen mit Beteiligung von angrenzenden Strukturen, insbesondere der Leber, bestehen. Trotz apparativer Untersuchungen wie Sonographie und Computertomogramm ist die letztendlich richtige Diagnose häufig nur intraoperativ zu stellen und erst dann die adäquate Therapie festlegbar. Chronische Entzündungen der Gallenblase können als solide Tumoren imponieren und dann als maligne Prozesse der Gallenblase und der angrenzenden Lebersegmente fehlinterpretiert werden.


1975 ◽  
Vol 14 (04) ◽  
pp. 330-338
Author(s):  
L. G. Colombetti ◽  
J. S. Arnold ◽  
W. E. Barnes

SummaryTc-99m pyridoxylidene glutamate has proven to be an excellent biliary scanning agent, far superior in many respect to the commonly used 1-131 rose bengal. The preparation of the compound as previously reported by Baker et al is too time consuming and requires the use of an autoclave which is not available in most nuclear medicine departments. In our facility, we have been preparing similar compounds using several aldehydes and monosodium glutamate to make labeled complexes having the same pharmacological characteristics. The mixture of monosodium glutamate, aldehyde, and Tc-99m pertechnetate is made slightly alkaline, purged with helium, and placed in a sealed vial. The vial, which is protected by a wire basket, is then heated in a laboratory oven at 130° C for a period of 15 to 20 minutes. During this time, the technetium is reduced to a lower valence state and bound to the complex formed. Chromatographic data show that these compounds are chemically similar to that previously reported. The compounds prepared concentrate in the gall bladder of the rabbit in less than 10 minutes. Kinetic studies have been performed on dogs with a scintillation camera and small digital computer to measure rates of blood clearance, liver and gall bladder uptake, and excretion into the intestine. The aldehyde — glutamate complex promises to be a useful scanning agent for the diagnosis of biliary and hepatocellular diseases.


1970 ◽  
Vol 24 (1) ◽  
pp. 10-13
Author(s):  
TK Maitra ◽  
NA Alam ◽  
E Haque ◽  
MH Khan ◽  
HK Chowdhury

Laparoscopic cholecystectomy is one of the procedures through which gall bladder can be removed. Acute cholecystitis was considered a contraindication for laparoscopic procedure but with time and experience this shortcoming is now overcome. Here is a study of 32 patients who were selected for laparoscopic cholecystectomy. Among them, 29 patients were operated by laparoscopic method and rest three patients were converted. This study showed the appropriate time for surgery, technical difficulties and the complication of surgery. It may be concluded that laparoscopic cholecystectomy is feasible and beneficial to the patient with acute cholecystitis in its early phase, if necessary support and expertise is available. (J Bangladesh Coll Phys Surg 2006; 24: 10-13)


Sign in / Sign up

Export Citation Format

Share Document