## Asymptomatic gallstones 'The increasing detection of asymptomatic gallstones leads to difficult decisions for the surgeon and patient about whether the stones should be managed expectantly or surgically. 7his review examines the evidence currently available upon which such decisions must be bas
Dating gallstones
โ Scribed by David F. Ransohoff
- Publisher
- John Wiley and Sons
- Year
- 1987
- Tongue
- English
- Weight
- 260 KB
- Volume
- 7
- Category
- Article
- ISSN
- 0270-9139
No coin nor oath required. For personal study only.
โฆ Synopsis
HEPATOLOGY ELSEWHERE
401
(9), no evidence was found recently for either su1fate:bile acid exchange (10) or bicarbonate:bile acid exchange (11) at the canalicular membrane surface.
Thus, at present, the movement of bile acid anions out of the hepatocyte appears to be the result of carriermediated, facilitated diffusion, favored by the negative intracellular electrical potential. However, based on the Nernst equation, this cannot be the sole process by which bile acids are concentrated into bile (5), and the contribution of exocytosis of vesicle-associated bile acids derived from the endoplasmic reticulum and Golgi apparatus and/or other carrier-mediated transport mechanisms remain to be determined. Perhaps additional studies, currently underway, using both liver plasma membrane vesicles and isolated hepatocyte couplets (12), with a defined canalicular space ideally suited for micropuncture, will clarify hepatic bile acid transport to the same degree as Weinberg and colleagues have for the intestinal transport of these important organic anions.
๐ SIMILAR VOLUMES
We read with great interest the article entitled ''Diet and Gallstone in Italy: The Cross-Sectional MICOL Results'' by Attili et al. 1 However, the authors considered the patients to be one homogeneous group, whereas stones can be divided into cholesterol or black pigment types based on composition.