HIDA scan for functional gallbladder disorder: ensure that you know how the scan was done
| Autor: | Ethan J. Spiegler, Steven C. Cunningham, Naeem Goussous, Gopal C. Kowdley, Hadia Maqsood |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Abdominal pain medicine.medical_specialty Vitamin K Adolescent medicine.medical_treatment Biliary dyskinesia Gastroenterology 03 medical and health sciences Young Adult 0302 clinical medicine Predictive Value of Tests Internal medicine medicine Humans Cholecystectomy Cholecystokinin Aged Aged 80 and over Ejection fraction Hepatology business.industry Gallbladder Imino Acids digestive oral and skin physiology Gallbladder Disorder Gallstones Middle Aged medicine.disease Dietary Fats Abdominal Pain medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female medicine.symptom Radiopharmaceuticals business hormones hormone substitutes and hormone antagonists Biliary Dyskinesia |
| Zdroj: | Hepatobiliarypancreatic diseases international : HBPD INT. 16(2) |
| ISSN: | 1499-3872 |
| Popis: | Background Despite the increasing use of fatty meal (FM) as a substitute for cholecystokinin (CCK) in pain reproduction during hepato-imino-diacetic acid (HIDA) scan in functional gallbladder disorder, there are no studies comparing the differences between CCK and FM. The present study was to compare the efficacy of FM in comparison of CCK in FGBD application. Methods Patients undergoing HIDA scans from August 2013 to May 2014 were divided into two groups: those undergoing CCK-stimulated HIDA scan versus FM-stimulated HIDA scan. These groups were compared according to demographics and HIDA results. Results Of 153 patients, 70 received CCK and 83 FM. There was no difference regarding age, gender, gallstones, gallbladder ejection fraction and time to visualization. However, significantly more of the patients receiving CCK than FM experienced pain reproduction (61% vs 30%, P Conclusions Stimulation of gallbladder contractility with a FM during HIDA is less than half as likely to reproduce biliary symptoms compared to CCK, despite similar ejection fractions and other parameters. It is essential that providers account for this difference when counseling patients regarding cholecystectomy for functional gallbladder disorder. |
| Databáze: | OpenAIRE |
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