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Patients who undergo cholecystectomy for a diagnosis of hyperkinetic gallbladder, on average, report improvement in symptoms when compared to patients managed nonoperatively The widely accepted diagnosis of biliary dyskinesia is comprised of vague right upper quadrant pain with absence of gallstones or gallbladder wall thickening and an abnormally low gallbladder ejection fraction on hepatobiliary iminodiacetic acid (hida) scan. This study supports the practice of reporting and managing hyperkinetic gallbladders as a pathologic entity.
Biliary dyskinesia is a functional gallbladder disorder Herein, a diagnosis of biliary hyperkinesia is proposed to explain elevated ejection fractions in patients with typical biliary colic symptoms. It affects your gallbladder’s motility — its ability to move bile out into your bile ducts
More rarely, the motility disorder affects the small muscle (sphincter) located where your bile conduit empties into your intestine.
Functional gallbladder disorder is characterized by biliary pain in the absence of gallstones, sludge, microlithiasis, or microcrystal disease The diagnosis requires an evaluation to exclude other organic causes of pain. Both patients were found to have elevated gallbladder ejection fractions (gbef) of 97 percent and 98 percent, respectively, on hida scan Both patients underwent elective minimally invasive cholecystectomies without complication.
While some studies have demonstrated favorable outcomes with surgical intervention in hbd There is not a universal consensus on diagnosis and management for optimal patient outcomes. It is thought that patients with hyperkinetic gallbladder have either increased cck release or increased cck receptors, causing excessive gallbladder contraction and subsequent abdominal pain. The primary objective of the study was to test the hypothesis that gallbladder hyperkinesia is involved in the pathogenesis of biliary colic in the absence of gallstones in adults, and that symptomatic acalculous gallbladder hyperkinesia should be a new indication for cholecystectomy in adults.
Based on existing evidence, cholecystectomy appeared to be a promising and effective treatment for hbd in select patients.
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