Abstract
To investigate the pathogenesis of gallstones after gastrectomy, bile in gallbladder was obtained from 62 patients with cholecystolithiasis and 22 patients without gallstone. Out of 27 patients with gallstone after gastrectomy 24 underwent gastrectomy for gastric cancer and 3 for peptic ulcer. Patients with gallstone, after gastrectomy had the similar level of bile pH and ionized calc ium to both of control patients, however they had the lower level of total bilirubin, total bile acid and phospholipides and higher G/T ratio. Similar results were obtained from patient with liver cirrhosis and calcium bilirubinate stone. These results were content with the fact that black stone or calcium bilirubinate stone was, highly developed in patients with gallstone after gastrectomy. In conclusion, it is critical for clarification of mechanism of gallstone formation after gastrectomy to analyze the data based on kind of stones.
