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Role of Cholecystectomy in Symptomatic Hyperkinetic Gallbladder Patients

INTRODUCTION: Biliary dyskinesia is defined by a gallbladder ejection fraction (EF) of less than 35% on HIDA scan, and these patients have shown a good response to cholecystectomy. Management of patients with biliary colic symptoms who have a hyperkinetic gallbladder (EF > 80%) is not clearly def...

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Autor principal: Singh, Jai P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016577/
https://www.ncbi.nlm.nih.gov/pubmed/33833891
http://dx.doi.org/10.1155/2021/5569850
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author Singh, Jai P.
author_facet Singh, Jai P.
author_sort Singh, Jai P.
collection PubMed
description INTRODUCTION: Biliary dyskinesia is defined by a gallbladder ejection fraction (EF) of less than 35% on HIDA scan, and these patients have shown a good response to cholecystectomy. Management of patients with biliary colic symptoms who have a hyperkinetic gallbladder (EF > 80%) is not clearly defined. Herein, I report three cases of the symptomatic hyperkinetic gallbladder that were successfully managed with cholecystectomy. Case Report. Patient 1was a 56-year-old female presented with pain in the right upper abdomen for one month. Her workup was unremarkable except for the gallbladder EF of 86%. Patient 2 was a 33-year-old female with similar symptoms and workup with gallbladder EF of 97%. Patient 3 was a 20-year-old female with right upper abdominal pain and gallbladder EF of 91%. Patients 1 and 3 had the normal US, normal CT scan, and normal EGD. Patient 2 had normal US and CT but did not undergo EGD. All three patients underwent laparoscopic cholecystectomy and had complete resolution of their symptoms. CONCLUSION: The hyperkinetic gallbladder is a rare phenomenon, which can cause debilitating right upper quadrant pain. All three patients had an excellent response to cholecystectomy. Therefore, it is concluded that the patients with biliary colic and gallbladder EF of 80% or higher should be strongly considered for surgery.
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spelling pubmed-80165772021-04-07 Role of Cholecystectomy in Symptomatic Hyperkinetic Gallbladder Patients Singh, Jai P. Case Rep Surg Case Report INTRODUCTION: Biliary dyskinesia is defined by a gallbladder ejection fraction (EF) of less than 35% on HIDA scan, and these patients have shown a good response to cholecystectomy. Management of patients with biliary colic symptoms who have a hyperkinetic gallbladder (EF > 80%) is not clearly defined. Herein, I report three cases of the symptomatic hyperkinetic gallbladder that were successfully managed with cholecystectomy. Case Report. Patient 1was a 56-year-old female presented with pain in the right upper abdomen for one month. Her workup was unremarkable except for the gallbladder EF of 86%. Patient 2 was a 33-year-old female with similar symptoms and workup with gallbladder EF of 97%. Patient 3 was a 20-year-old female with right upper abdominal pain and gallbladder EF of 91%. Patients 1 and 3 had the normal US, normal CT scan, and normal EGD. Patient 2 had normal US and CT but did not undergo EGD. All three patients underwent laparoscopic cholecystectomy and had complete resolution of their symptoms. CONCLUSION: The hyperkinetic gallbladder is a rare phenomenon, which can cause debilitating right upper quadrant pain. All three patients had an excellent response to cholecystectomy. Therefore, it is concluded that the patients with biliary colic and gallbladder EF of 80% or higher should be strongly considered for surgery. Hindawi 2021-03-25 /pmc/articles/PMC8016577/ /pubmed/33833891 http://dx.doi.org/10.1155/2021/5569850 Text en Copyright © 2021 Jai P. Singh. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Singh, Jai P.
Role of Cholecystectomy in Symptomatic Hyperkinetic Gallbladder Patients
title Role of Cholecystectomy in Symptomatic Hyperkinetic Gallbladder Patients
title_full Role of Cholecystectomy in Symptomatic Hyperkinetic Gallbladder Patients
title_fullStr Role of Cholecystectomy in Symptomatic Hyperkinetic Gallbladder Patients
title_full_unstemmed Role of Cholecystectomy in Symptomatic Hyperkinetic Gallbladder Patients
title_short Role of Cholecystectomy in Symptomatic Hyperkinetic Gallbladder Patients
title_sort role of cholecystectomy in symptomatic hyperkinetic gallbladder patients
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016577/
https://www.ncbi.nlm.nih.gov/pubmed/33833891
http://dx.doi.org/10.1155/2021/5569850
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