Ultrasonographic study of gall bladder volume changes in diabetes with and without diabetic neuropathy

ABSTRACT

Forty patients with diabetes mellitus and ten control individuals were studied for evaluation of the effect of autonomic neuropathy on resting and postpr and ial gall bladder volume. There was a significant increase in fasting gall bladder volume in diabetes with autonomic neuropathy, than those without autonomic neuropathy and the volume was still more significantly larger than in control individuals. The fractional gall bladder emptying in diabetics with autonomic neuropathy was significantly less than those diabetics without neuropathy, and even so than control group. There was a significant delay in peak gall bladder emptying in diabetics than in control and this delay was more significant in patients with autonomic neuropathy