期刊名称：Proceedings of the National Academy of Sciences
印刷版ISSN：0027-8424
电子版ISSN：1091-6490
出版年度：1970
卷号：67
期号：1
页码：400-407
DOI：10.1073/pnas.67.1.400
语种：English
出版社：The National Academy of Sciences of the United States of America
摘要：An analysis of fluid mechanics and diffusion in the gallbladder predicts that there is a thin layer of high bile-constituent concentration near the gallbladder wall. Cholesterol may precipitate in this layer, even when the average cholesterol concentration in the gallbladder is below saturation. The amount precipitated increases with time, with increased average cholesterol concentration, and with decreased average lecithin concentration. If the gallbladder does not empty completely, the precipitated cholesterol particles may grow over many cycles of gall bladder filling and emptying. The analysis explains why cholesterol-gallstone formation is not correlated with bile-constituent concentration alone, why a flaccid, noncontractile, gallbladder has a greater chance of forming gallstones, why small stones are frequently found near the gallbladder wall, and why stones may be found in only one limb of a double gallbladder.
