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Insulin Resistance Causes Human Gallbladder Dysmotility

Nakeeb, Attila, Comuzzie, Anthony G., Al-Azzawi, Hayder, Sonnenberg, Gabriele E., Kissebah, Ahmed H., Pitt, Henry A.·2006·Journal of Gastrointestinal Surgery

Abstract

Obesity, diabetes, and hyperlipidemia are known risk factors for the development of gallstones. A growing body of animal and human data has correlated insulin resistance with organ dysfunction. The relationship among obesity, diabetes, hyperlipidemia, and abnormal gallbladder motility remains unclear. Therefore, we designed a study to investigate the association among obesity, insulin resistance, hyperlipidemia, and gallbladder dysmotility. One hundred ninety-two healthy adult nondiabetic volunteers were studied. Gallbladder ultrasounds were performed before and after a standardized fatty meal. A gallbladder ejection fraction (EF) was calculated, and an EF of 25% (109 +/- 20 mg/dl versus 78 +/- 2 mg/dl, P 25% (3.3 +/- 1.2 versus 2.0 +/- 0.2, P < 0.05). In obese subjects (n = 66), fasting glucose, insulin, and insulin resistance were not associated with a gallbladder EF < 25%. These data suggest that in lean, nondiabetic volunteers without gallstones, gallbladder dysmotility is associated with an elevated fasting glucose as well as a high index of insulin resistance. We conclude that insulin resistance alone may be responsible for gallbladder dysmotility that may result in acalculous cholecystitis or gallstone formation.

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Metadata

Authors
Nakeeb, A., Comuzzie, A. G., Al-Azzawi, H., Sonnenberg, G. E., Kissebah, A. H., & Pitt, H. A.
Venue
Journal of Gastrointestinal Surgery
Publisher
Elsevier BV
Published
2006-07
Volume
10
Issue
7
Pages
940-949
ISSN
1091-255X
Cited by
84
References
1
Language
en

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