Gallbladder motility in obesity, diabetes mellitus and coeliac disease

M. Fraquelli, M. Pagliarulo, A. Colucci, S. Paggi, Dario Conte

Research output: Contribution to journalArticlepeer-review

Abstract

We reviewed data on gallbladder motility in obesity, diabetes and coeliac disease. In obesity, a condition characterised by increased risk of gallstone(s), decreased gallbladder motility has heterogeneously been reported as a consequence of the different type of meals used to induce gallbladder contraction, characteristics of the population studied, technique used, and proportion of patients with hyperinsulinaemia. Moreover, recent studies have evaluated the effect of dietary restriction on gallbladder motility in obese patients. A two- to three-fold increase in the risk of cholesterol gallstone(s) has been reported in diabetic patients, mainly in relation to obesity and hypertriglyceridaemia. Furthermore, decreased gallbladder motility has been described and attributed to other factors, including underlying autonomic neuropathy, reduced gallbladder sensitivity to cholecystokinin and/or reduced number of cholecystokinin receptors on the gallbladder wall. Impaired gallbladder motility has been reported also in patients with coeliac disease in relation to reduced secretion of enteric hormones and/or decreased gallbladder sensitivity to them. In particular, untreated coeliacs, when compared to controls, showed low postprandial cholecystokinin and increased fasting somatostatin levels. Interestingly, the correlation between fasting somatostatin levels and gallbladder size has clearly been confirmed in patients affected by somatostatinoma or treated with somatostatin or its analogues. Gallbladder motility can be affected by various clinical conditions, such as obesity, diabetes mellitus and coeliac disease.

Original languageEnglish
JournalDigestive and Liver Disease
Volume35
Issue numberSUPPL. 3
DOIs
Publication statusPublished - Jul 2003

Keywords

  • Coeliac disease
  • Diabetes mellitus
  • Gallbladder motility
  • Obesity
  • Ultrasound

ASJC Scopus subject areas

  • Gastroenterology

Fingerprint

Dive into the research topics of 'Gallbladder motility in obesity, diabetes mellitus and coeliac disease'. Together they form a unique fingerprint.

Cite this