![]() ![]() It is diagnosed using the Rome IV criteria, which include biliary pain in the absence of structural pathology and support using a cholecystokinin-hepatobiliary iminodiacetic acid (CCK-HIDA) scan to measure ejection fraction (EF). These results strongly suggest a role of surgical management in patients with high EF.īiliary dyskinesia is defined as a functional gallbladder disorder in the absence of a structural or mechanical cause for abdominal pain. The overwhelming majority of patients experienced symptom resolution prior to their two-week postoperative visit following minimally invasive cholecystectomy for hyperkinetic gallbladder. There was a 95.9% symptom resolution rate among our patients two weeks postoperatively. In total, 33 (68.8%) patients had chronic cholecystitis on final pathology reports. The mean gallbladder EF was 87.3%, with a median of 87.0 and a range of 80-98. Overall, 58.3% of patients had replication of symptoms with CCK infusion. The majority of patients were female (83.3%). The mean age of patients was 41.2 years (standard deviation = 14.4), and the median age of patients was 42.2 years, with a range of 17-71 years. Data collected included age, gender, EF, body mass index, symptoms with CCK infusion, and pathology.Ī total of 48 patients were included. The main outcome was symptom resolution at the postoperative visit. Patients who underwent minimally invasive cholecystectomy for biliary colic with EF ≥80% and who were without cholelithiasis on preoperative imaging or on final pathology were included in this study. The aim of our study was to examine symptom resolution following minimally invasive cholecystectomy in patients with hyperkinetic gallbladder.Ī retrospective chart review was conducted at Robert Packer Hospital in Sayre, PA. However, few studies have examined the role of cholecystectomy in hyperkinetic gallbladder (EF ≥80%). A cholecystokinin-hepatobiliary iminodiacetic acid (CCK-HIDA) scan is typically performed during workup, and cholecystectomy is the accepted treatment for low ejection fraction (EF) (less than 33%, as defined by the literature). ![]() ![]() Biliary dyskinesia is a functional gallbladder disorder in which there is an absence of a structural or mechanical cause for biliary pain. ![]()
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