Biliary Dyskinesia and Hyperkinesis.
| Autor: | Tseng J; Department of Medicine, CSC Health, 767 North Hill Street Suite 200, Los Angeles, CA 90012, USA; Department of Surgery, Cedars-Sinai Medical Center, 8635 West 3rd Street, Suite 650W, Los Angeles, CA 90048, USA. Electronic address: joshua.tseng@cshs.org., Chen Y; Department of Surgery, Cedars-Sinai Medical Center, 8635 West 3rd Street, Suite 650W, Los Angeles, CA 90048, USA., McDonald C; Department of Medicine, CSC Health, 767 North Hill Street Suite 200, Los Angeles, CA 90012, USA. |
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| Jazyk: | angličtina |
| Zdroj: | The Surgical clinics of North America [Surg Clin North Am] 2024 Dec; Vol. 104 (6), pp. 1191-1201. Date of Electronic Publication: 2024 May 16. |
| DOI: | 10.1016/j.suc.2024.04.007 |
| Abstrakt: | Biliary dyskinesia refers to a group of functional and motility disorders of the biliary system in patients presenting with typical biliary pain, but without any visible structural abnormalities on standard imaging. The Rome IV Criteria establishes diagnostic criteria for functional gallbladder disorder (gallbladder dyskinesia and biliary hyperkinesia), functional biliary sphincter of Oddi disorder (biliary dyskinesia), and pancreatic sphincter of Oddi disorder. Many diagnostic adjuncts such as hepatobiliary scintigraphy and sphincter of Oddi manometry exist, although these results are supportive and not necessarily diagnostic for biliary dyskinesia. Surgical intervention is most successful when selecting for patients with typical biliary pain. Competing Interests: Disclosure The author has nothing to disclose. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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