Factors affecting gall-stone dissolution rate during chenic acid therapy

Gut. 1983 Jan;24(1):7-10. doi: 10.1136/gut.24.1.7.

Abstract

Gall-stone dissolution rate was measured in 52 patients with radiolucent gall stones in a functioning gall bladder receiving chenic acid 15 mg/kg/day. Percentage reduction in gall-stone area at six months was inversely related to initial gall-stone diameter (n = 52; r = -0.53; p less than 0.001), and to cholesterol saturation index of fasting gall-bladder bile during treatment (n = 28; r = -0.61; p less than 0.001). The duration of treatment required for complete dissolution was directly related to initial gall-stone diameter (r = 0.47; p less than 0.02). We conclude that the rate of gall-stone dissolution depends not only on gall-stone size but also on the degree of unsaturation of gall-bladder bile achieved during chenic acid treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Bile / analysis
  • Chenodeoxycholic Acid / therapeutic use*
  • Cholelithiasis / drug therapy*
  • Cholelithiasis / metabolism
  • Cholelithiasis / pathology
  • Cholesterol / analysis
  • Female
  • Humans
  • Male
  • Middle Aged
  • Time Factors

Substances

  • Chenodeoxycholic Acid
  • Cholesterol