結核症患者の治療経過中に見られる胆嚢症について

抄録

By means of cholecystography and examination of duodenal juice, the function of the gallbladder was investigated on 25 inpatients with tuberculosis in respiratory organs (chiefly in lungs) who had dyspeptic complaints.
The following results were obtained;
1) Patinets with more than 30 cc of gall in the gallbladder totaled 14 of 20 (70%).
2) 65% of patients (in 13 of 20) were found to be under normal level in Meulengracht unit of B-bile.
3) 52% of patients (in 13 of 25) had deformed gallblders.
4) Those patients whose shadows of gallbladders on X-ray film were smaller than those of average in square measure came to 44% in 11 of 25.
5) Patients with such gallbladder that did not contract normally on chlecystography totaled 16 of 25 (64%).
Dyspeptic symptomes and signs disappeared a few days after giving choleretica (orally or by injection).
In considerating of our cases, it is our viewpoint on cholecystopathy involved in the tuberculosis in the respiratory organ that gastrointestinal disorders due to the tubercle bacillus and its toxin are not responsible, but biliary dyskinesia caused by them might be primarily responsible for dyspeptic complaints.