Artigo Acesso aberto Revisado por pares

Precision and accuracy in the measurement of the cholesterol saturation index of duodenal bile

1981; Elsevier BV; Volume: 80; Issue: 3 Linguagem: Inglês

10.1016/0016-5085(81)90016-0

ISSN

1528-0012

Autores

M.J. Whiting, R.H.L. Down, J. McK. Watts,

Tópico(s)

Lipid metabolism and disorders

Resumo

The reproducibility of measurement of the cholesterol saturation index of duodenal bile has been in- vestigated in 5 healthy male and 10 healthy female volunteers.Two possible causes for variation in the saturation index were examined.First, the precision of the assays for cholesterol, bile acids, and phospholipids was such that after replicate analysis of eight individual bile samples, analytic variation produced cholesterol saturation index values which covered a mean range of 0.09 f 0.02 (SEMI.Secondly, biologic variation was observed in all volunteers when eight duodenal bile samples were collected on different days over a l-month period.Biologic plus analytic variation accounted for large fluctuations in the biliary cholesterol saturation index, covering a mean range of 0.32 f 0.05 @EM).The magnitude of both types of variation was the same for men and women and was not related to physiologic changes in sex hormone levels during the menstrual cycle.After allowing for analytic variation, the cholesterol saturation index of duodenal bile accurately reflected that of gallbladder bile when collected at the same time from gallstone patients at operation. The measurementof the cholesterol saturation index (CSI) of duodenal bile has become a very impor-

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