The influences of (a) intraluminal bile deficiency due to common bile
duct obstruction and (b) intraduodenal administration of pooled own bi
le and bovine trypsin on the plasma cholecystokinin (CCK) response to
oral fat (Lipomul) ingestion were investigated in seven patients with
periampullary tumors and 10 healthy volunteers. Basal and fat-stimulat
ed plasma CCK levels in the patients were significantly higher than in
the normal controls. Intraduodenal administration of pooled own bile
at a rate of 100 ml/h significantly suppressed both basal and fat-stim
ulated CCK secretion. Simultaneous administration of pooled own bile (
100 ml/hr) and bovine trypsin (600 mg/hr) caused further significant s
uppression of fat-stimulated CCK secretion compared with that under bi
le infusion alone. These results indicate that both intraluminal bile
and trypsin exert a negative feedback effect on the release of CCK in
humans.