I don't know of further reading on ox bile. A quick search came up with this from Sally Fallon: http://nourishedmagazine.com.au/blog...ladder-disease
Basically, we need a burst of bile when we eat fatty meals. The liver makes a trickle of bile all day long, which is typically stored in the GB until needed, then it is all dumped at once.
No GB, no stored bile for big fatty meals, and incredibly poor fat digestion occurs. This leads to symptoms of fat deficiencies and maldigestion.
Ox bile is simply a way of getting a "bolus" of bile when one eats a lot of fat. There really is no substitute once the GB is gone.
I consider gastroenterology to be the most incompetent specialty in medicine as a general rule, for these three reasons:
1) Not recommending bile supplements to those who have had their GB removed (this is tantamount to malpractice in my opinion).
2) Using the current (>50 years old!!!) method to diagnose celiac disease. This is because, IMO, they don't want to actually discover how many people (as in ALL of them) are actually gluten intolerant!!! That would be really bad for both the medical and food industry's bottom lines (as in people wouldn't be anywhere near as sick).
3) Not changing people's diets in the proper way, as the FIRST line of treatment. If one has a chronic gut problem, they have a chronic diet problem.
If there is a gastro doc out there who reads this and doesn't practice like the above, you already know that you are going against "standard of care", that you get atypical results with your patients who listen (as in they get better), your colleagues don't agree or understand what you do, and that the above comments don't apply to you regarding incompetence.
Had to rant there for a second. I find GI issues so easy to deal with in patients who are willing to do what I ask of them--no fancy imaging or scopes up/down body cavities necessary.