Ultrasound examination showed no evidence of gall stones or sludge in any of the patients, with the exception of the 11 with documented pigment stones. In these 11 patients, the gross appearance and chemical analysis of the stone, as well as the absence of cholesterol monohydrate crystal in the sediment,9 were used to classify stone composition. All the results remain significant when the statistical tests were performed without the pigment stone patients. Criteria for a priori exclusion from the study were obesity (> 125% ideal body weight), recent weight loss, hyperlipidaemia (plasma cholesterol >250 mg/dl, plasma triglycerides (>200 mg/dl), or diabetes mellitus.The patients were randomly divided into three
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