Measurement of gallbladder motor functions: an overview.

Control of gallbladder motor functions involve a constant interplay between several stimulatory and inhibitory hormones and neurotransmitters. Gallbladder response to a stimulus is complicated involving rapid alternation of emptying and refilling during the postprandial period. Conventional methodology is not capable of evaluating both emptying and refilling in a quantitative manner, and hence previous studies have yielded a large variation in results in health and conflicting results in gallstone patients. There is therefore, a need for improved methodology. Postprandial refilling and turnover of bile are important parameters that need to be assessed when addressing gallbladder motor function and its role in the pathogenesis of cholesterol gallstone disease.