TY - JOUR
T1 - Laparoscopic cholecystectomy for biliary dyskinesia
T2 - Correlation of preoperative cholecystokinin cholescintigraphy results with postoperative outcome
AU - Bingener, J.
AU - Richards, M. L.
AU - Schwesinger, W. H.
AU - Sirinek, K. R.
PY - 2004/5
Y1 - 2004/5
N2 - Background: A gallbladder ejection fraction (EF) on cholescintigraphy of less than 35% after cholecystokinin (CCK) has been considered to be pathophysiologic and an indication for laparoscopic cholecystectomy (LC). Methods: All patients undergoing LC for biliary dyskinesia between 1994 and 2001 were prospectively entered into a database. These patients were retrospectively evaluated with regard to demographics, the number of preoperative studies obtained, postoperative symptoms, and the number of postoperative studies obtained. Results: Sixty patients underwent LC for biliary dyskinesia. The mean gallbladder EF was 14%, and 75% of patients were asymptomatic postoperatively. Persistent symptoms prompted further investigation in 6% of patients with a gallbladder EF < 14% and in 35% of patients with an EF between 14 and 35% (p = 0.05). Conclusion: Laparoscopic cholecystectomy alleviated symptoms in 94% of patients with a gallbladder EF < 14% after CCK injection. The diagnostic significance of a preoperative CCK cholescintigram (EF 14-35%) needs further investigation.
AB - Background: A gallbladder ejection fraction (EF) on cholescintigraphy of less than 35% after cholecystokinin (CCK) has been considered to be pathophysiologic and an indication for laparoscopic cholecystectomy (LC). Methods: All patients undergoing LC for biliary dyskinesia between 1994 and 2001 were prospectively entered into a database. These patients were retrospectively evaluated with regard to demographics, the number of preoperative studies obtained, postoperative symptoms, and the number of postoperative studies obtained. Results: Sixty patients underwent LC for biliary dyskinesia. The mean gallbladder EF was 14%, and 75% of patients were asymptomatic postoperatively. Persistent symptoms prompted further investigation in 6% of patients with a gallbladder EF < 14% and in 35% of patients with an EF between 14 and 35% (p = 0.05). Conclusion: Laparoscopic cholecystectomy alleviated symptoms in 94% of patients with a gallbladder EF < 14% after CCK injection. The diagnostic significance of a preoperative CCK cholescintigram (EF 14-35%) needs further investigation.
KW - Acalculous cholecystitis
KW - Cholecystokinin
KW - Cholescintigraphy
KW - Gallbladder dyskinesia
KW - Laparoscopic cholecystectomy
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M3 - Article
C2 - 15054652
AN - SCOPUS:2442621170
SN - 0930-2794
VL - 18
SP - 802
EP - 806
JO - Surgical Endoscopy and Other Interventional Techniques
JF - Surgical Endoscopy and Other Interventional Techniques
IS - 5
ER -