On changes in gastric secretory function in liver and gallbladder diseases
Е. I. Aronson , B. A. Temper
Kazan medical journal ›› 1939, Vol. 35 ›› Issue (2-3) : 20 -21.
On changes in gastric secretory function in liver and gallbladder diseases
For a long time a number of authors have noted changes in the digestive tract in diseases of the liver, gallbladder and biliary tract. For example, it is known that acute hepatitis is usually accompanied by dyspeptic phenomena. As for cholecystitis, the latter are very often observed phenomena of gastritis. A number of researchers (Bergman, Zimnitsky, Luria, etc.) have studied changes in the secretory function of the stomach in diseases of the liver and gallbladder. The data obtained were rather contradictory. For example, Luria, Zimnitsky, Myasnikov, Kovalenok and others indicate that cholecystopathy is always accompanied by a decrease in acidity and even complete achilia. This decrease in acidity, according to some, depends on the absorption of bile into the stomach, others see in it the influence of reflex inhibition of secretion by the sympathetic nervous system. Badylkes, on the basis of his experiments on dogs, believes that inflammatory processes in the gallbladder cause a slight decrease in the duration of bile secretion and a considerable decrease in secretion and acidity. Oli found a decrease in acidity in 45 of 87 cases. Gollweg, with 43 observations, found a deficiency of hydrochloric acid in 84%. Similar data have been obtained by Aldor, Gechtman, Bergman and others.
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