BACKGROUND: The outcome of laparoscopic cholecystectomy for patients who present with "classic" biliary colic without evidence of cholelithiasis or acute inflammation (biliary dyskinesia) is not well documented. This study evaluates whether a cholecystokinin dimethyl iminodiacetic acid (CCK-HIDA) scan can predict relief of symptoms in this group of patients. METHODS: Patients who underwent laparoscopic cholecystectomy after a normal ultrasound and with an abnormal dimethyl iminodiacetic acid scan were retrospectively reviewed. Symptomatic improvement was correlated with degree of dyskinesia, histologic findings, sex, and age. RESULTS: One hundred seventy-six patients were studied and 69% were available for followup at a mean interval of 16 months. One hundred fourteen patients (94%) had complete or partial relief of symptoms. No correlation was found between degree of relief and degree of impaired ejection (31% to 50% versus <30%), the histologic findings, sex, or age. CONCLUSIONS: Abnormal cholecystokinin dimethyl iminodiacetic acid scan effectively predicts relief of symptoms in patients undergoing laparoscopic cholecystectomy for biliary dyskinesia.
BACKGROUND: The outcome of laparoscopic cholecystectomy for patients who present with "classic" biliary colic without evidence of cholelithiasis or acute inflammation (biliary dyskinesia) is not well documented. This study evaluates whether a cholecystokinindimethyl iminodiacetic acid (CCK-HIDA) scan can predict relief of symptoms in this group of patients. METHODS:Patients who underwent laparoscopic cholecystectomy after a normal ultrasound and with an abnormal dimethyl iminodiacetic acid scan were retrospectively reviewed. Symptomatic improvement was correlated with degree of dyskinesia, histologic findings, sex, and age. RESULTS: One hundred seventy-six patients were studied and 69% were available for followup at a mean interval of 16 months. One hundred fourteen patients (94%) had complete or partial relief of symptoms. No correlation was found between degree of relief and degree of impaired ejection (31% to 50% versus <30%), the histologic findings, sex, or age. CONCLUSIONS: Abnormal cholecystokinindimethyl iminodiacetic acid scan effectively predicts relief of symptoms in patients undergoing laparoscopic cholecystectomy for biliary dyskinesia.
Authors: Matthew I Goldblatt; Deborah A Swartz-Basile; Hayder H Al-Azzawi; Khoi Q Tran; Attila Nakeeb; Henry A Pitt Journal: J Gastrointest Surg Date: 2006-02 Impact factor: 3.452
Authors: Hayder H Al-Azzawi; Attila Nakeeb; Romil Saxena; Mary A Maluccio; Henry A Pitt Journal: J Gastrointest Surg Date: 2007-07 Impact factor: 3.452
Authors: M Shirin Sabbaghian; Barrie S Rich; Gary D Rothberger; Jonathan Cohen; Steven Batash; Elissa Kramer; H Leon Pachter; Stuart G Marcus; Peter Shamamian Journal: J Gastrointest Surg Date: 2008-06-10 Impact factor: 3.452