Users' questions

How effective is cholecystectomy for biliary dyskinesia?

How effective is cholecystectomy for biliary dyskinesia?

How effective is cholecystectomy for biliary dyskinesia? Although initial studies in the early 1990s suggested that 80-90% of patients have symptom resolution with cholecystectomy, this has not held up in clinical practice.

Is biliary dyskinesia a gallbladder disease?

Biliary dyskinesia is a condition of the gallbladder. The gallbladder stores a digestive enzyme called bile.

Can biliary dyskinesia cause gastroparesis?

We found that concomitant gastroparesis may occur in children with biliary dyskinesia, and that those with concomitant gastroparesis were more likely to have an unfavorable clinical outcome.

Can gallbladder disease cause gastroparesis?

Concomitant gastroparesis may occur in children with functional gallbladder disorders.

Can a person with biliary dyskinesia remove the gallbladder?

Up to now, this is a huge crowd of potential candidates for the removal of the gallbladder. Typically, even when a person has all of these symptoms, blood and imaging test results can come back normal. Doctors would interpret these results and diagnose an individual with biliary dyskinesia.

What should be done before cholecystectomy for biliary dyskinesia?

Before a cholecystectomy is performed, every person with symptoms of biliary dyskinesia should have complete lab studies, including liver enzyme studies, conjugated bilirubin, amylase, and lipase levels. These labs should all be normal before surgery is considered an option for the treatment of biliary dyskinesia. 3 

What kind of ultrasound is needed for biliary dyskinesia?

In order to diagnose biliary dyskinesia, the patient should have right upper quadrant pains similar to biliary colic but have a normal ultrasound examination of the gallbladder (no stones, sludge, microlithiasis, gallbladder wall thickening or CBD dilation).

Why are the symptoms of biliary dyskinesia similar to colic?

It may be due to metabolic disorders that affect the motility of the GI tract, including the gallbladder, or to a primary alteration in the motility of the gallbladder itself. Biliary dyskinesia presents with a symptom complex that is similar to those with biliary colic. What are the symptoms?

Up to now, this is a huge crowd of potential candidates for the removal of the gallbladder. Typically, even when a person has all of these symptoms, blood and imaging test results can come back normal. Doctors would interpret these results and diagnose an individual with biliary dyskinesia.

Before a cholecystectomy is performed, every person with symptoms of biliary dyskinesia should have complete lab studies, including liver enzyme studies, conjugated bilirubin, amylase, and lipase levels. These labs should all be normal before surgery is considered an option for the treatment of biliary dyskinesia. 3 

What are the test results for biliary dyskinesia?

In the case of biliary dyskinesia, the blood and imaging test results may come back normal. A particular visual test-cholescintigraphy (HIDA scan) may show low gallbladder ejection that indicates abnormal gallbladder motility. HIDA scan remains highly debated due to the false-positive rates are given to healthy individuals.

What can cause gallbladder removal in a child?

It is a common diagnosis in children; in fact, in some pediatric hospitals, biliary dyskinesia has become the most common reason for gallbladder removal. 1  Biliary dyskinesia is sometimes associated with a condition called cholecystitis, which is a long-term condition involving inflammation of the gallbladder.