Laparoscopic cholecystectomy for biliary dyskinesia

Bingener, Juliane; Richards, Melanie L.; Schwesinger, Wayne H.; Sirinek, Kenneth R.

doi:10.1007/s00464-003-8145-6

Cited by 32 publications

(12 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[9][10][11] The patients with an EF less than 14% or with pain after cholecystokinin infusion had a 94% success rate after cholecystectomy. In comparison, the patients with a 14% to 34% EF achieved only a 65% success rate after LC.…”

Section: Discussionmentioning

confidence: 99%

“…Pain is often exacerbated with food, associated frequently with nausea and vomiting. [10][11][12] If all other diagnostic work-ups are negative, and the patient still has disturbing right upper quadrant pain, quantitative cholescintigraphy may be diagnostic for gallbladder dysfunction. [12][13][14] Our goal was to find out the prevalence of gallbladder dysfunction in the adult population with chronic biliary-type upper abdominal pain.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Role of Quantitative Cholescintigraphy for Planning Laparoscopic Cholecystectomy in Patients With Gallbladder Dyskinesia and Chronic Abdominal Pain

Paajanen¹,

Miilunpohja²,

Joukainen³

et al. 2009

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

Our aim was to examine the diagnostic role and therapeutic guide of quantitative cholescintigraphy in 122 patients with a biliary-type chronic abdominal pain and normal abdominal ultrasound. The patients with severe symptoms and an impaired ejection fraction (EF35%, n=38) EF. An impaired gallbladder emptying was found in 84/122 of patients (69%) and LC was performed in 32/122 (26%) of the patients, that is, 2.2% of all cholecystectomies in our hospital. After the mean follow-up of 4 years, chronic abdominal pain was totally improved or diminished in 92% in the LC group, 45% in the nonoperative group with EF35%, respectively (P=0.0003). Quantitative cholescintigraphy is a useful aid when considering the treatment options in patients with chronic biliary-type abdominal pain and a negative abdominal ultrasound.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Role of Quantitative Cholescintigraphy for Planning Laparoscopic Cholecystectomy in Patients With Gallbladder Dyskinesia and Chronic Abdominal Pain

Paajanen¹,

Miilunpohja²,

Joukainen³

et al. 2009

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

show abstract

“…It is clinically accepted that when a GB ejection fraction (percentage of the volume displaced during emptying) is less than 35% [7] or 40% [8], then the GB motor function is considered to be impaired; otherwise, it is considered normal. It has been found that the GB pain of some patients has been alleviated after their GBs are removed [7,8]. However, conflicting reports also exist [3,5,9].…”

Section: Introductionmentioning

confidence: 99%

Correlation of Mechanical Factors and Gallbladder Pain

Luo

Hill

et al. 2007

Computational and Mathematical Methods in Medicine

View full text Add to dashboard Cite

Acalculous biliary pain occurs in patients with no gallstones, but is similar to that experienced by patients with gallstones. Surgical removal of the gallbladder (GB) in these patients is only successful in providing relief of symptoms to about half of those operated on, so a reliable pain-prediction model is needed. In this paper, a mechanical model is developed for the human biliary system during the emptying phase, based on a clinical test in which GB volume changes are measured in response to a standard stimulus and a recorded pain profile. The model can describe the bile emptying behaviour, the flow resistance in the biliary ducts, the peak total stress, including the passive and active stresses experienced by the GB during emptying. This model is used to explore the potential link between GB pain and mechanical factors. It is found that the peak total normal stress may be used as an effective pain indicator for GB pain. When this model is applied to clinical data of volume changes due to Cholecystokinin stimulation and pain from 37 patients, it shows a promising success rate of 88.2% in positive pain prediction.

show abstract

“…As an indication for cholecystectomy (CCY), GBD is approximately threefold more common in women and has been noted to increase steeply over the past several decades [9,10,11]. Because, as is widely recognized, the symptoms of SOD and GBD do overlap [2], and both entities should be considered in evaluating a patient thought to have either one or the other disorder, making a distinction between the two can be challenging for the clinician.…”

Section: Introductionmentioning

confidence: 99%

Gallbladder Dysfunction: How Much Longer Will It Be Controversial?

Goussous¹,

Kowdley²,

Sardana³

et al. 2014

Digestion

View full text Add to dashboard Cite

Background: Motility disorders of the biliary tree [biliary dyskinesia, including both gallbladder dysfunction (GBD), and sphincter of Oddi dysfunction] are difficult to diagnose and to treat. Summary: There is controversy in the literature in particular regarding the criteria that should be used to select patients for cholecystectomy (CCY) in cases of suspected GBD. The current review covers the history, diagnosis, and treatment of GBD. Key Messages: Only >85% of patients with suspected GBD have relief following CCY, a much lower rate than the nearly 100% success rate following CCY for gallstone disease. Unfortunately, the literature is lacking, and there are no universally agreed-upon criteria for selecting which patients to refer for operation, although cholecystokinin (CCK)-enhanced hepatobiliary iminodiacetic acid scan is often used, with emphasis on an abnormally low gallbladder ejection fraction or pain reproduction at CCK administration. There is a clear need for large, well-designed, more definitive, prospective studies to better identify the indications for and efficacy of CCY in cases of GBD. i 2014 S. Karger AG, Basel

show abstract

Laparoscopic cholecystectomy for biliary dyskinesia

Abstract: Laparoscopic cholecystectomy alleviated symptoms in 94% of patients with a gallbladder EF <14% after CCK injection. The diagnostic significance of a preoperative CCK cholescintigram (EF 14-35%) needs further investigation.

Cited by 32 publications

References 14 publications

Role of Quantitative Cholescintigraphy for Planning Laparoscopic Cholecystectomy in Patients With Gallbladder Dyskinesia and Chronic Abdominal Pain

Role of Quantitative Cholescintigraphy for Planning Laparoscopic Cholecystectomy in Patients With Gallbladder Dyskinesia and Chronic Abdominal Pain

Correlation of Mechanical Factors and Gallbladder Pain

Gallbladder Dysfunction: How Much Longer Will It Be Controversial?

Contact Info

Product

Resources

About