Diagnostic value of gallbladder emptying variables in chronic acalculous cholecystitis as assessed by fatty meal cholescintigraphy

Abstract

The single most important gallbladder emptying variable in diagnosing CAC is the GBEF. The latent period and the pattern of gallbladder emptying as well as the onset of gallbladder filling and biliary-to-bowel transit time are of no significant diagnostic value in CAC.

The rising tide of cholecystectomy for biliary dyskinesia

“…The first group was identified based on the primary billing code of ‘disease of the gall‐bladder not elsewhere classified’ (ICD‐9 code 575.8). As microscopic analyses of removed gall‐bladders often show some signs of chronic cholecystitis, a second group treated for ‘chronic cholecystitis’ (ICD‐9 code 575.11) was chosen. Electronic medical records of 100 patients per group seen in the multidisciplinary Digestive Disorders Center of the University of Pittsburgh Medical Center between 1 January 2008 and 31 December 2011, were reviewed based on these primary diagnosis codes.…”

“…Consistent with previously published reports, evidence of chronic cholecystitis was found in about 70% of our validation sample. Such microscopic findings could potentially be seen as a surrogate marker of disease.…”