[Gallbladder hypomotility in diabetic polyneuropathy].
A study was made of the pathogenic role of gallbladder hypomotility, which is presumably responsible for the high incidence of gallstone disease in long-standing diabetes mellitus. The gallbladder motility of diabetic patients (n = 10) was measured by means of quantitative hepatobiliary scintigraphy, and the severity of concomitant autonomic and sensory polyneuropathy was determined. The presence of marked gallbladder hypomotility was proven, and a positive correlation was observed between the severity of autonomic neuropathy and the contractile disorder. In this group of diabetic patients, a hypaesthetic sensory polyneuropathy too was recognized, the degree of which exhibited a positive correlation with the autonomic neuropathy score. This study underlines the important role of the autonomic neural dysfunction in the development of gallbladder hypomotility accompanying long-term diabetes mellitus.
Várkonyi
T
T
Szent-Györgyi Albert Orvostudományi Egyetem, I. Belgyógyászati Klinika Szeged.
Lengyel
C
C
Madácsy
L
L
Velösy
B
B
Boda
K
K
Kempler
P
P
Fazekas
T
T
Csernay
L
L
Lonovics
J
J
D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology; D003929:Diabetic Neuropathies / Q000209:etiology*; D005704:Gallbladder / Q000503:physiopathology*; D005705:Gallbladder Diseases / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D018476:Hypokinesia
Epehólyag-hypomotilitas diabeteses polyneuropathiában.