Gallbladder Dyskinesia

Michael E. Presti, Jill E. Elwing, Gregory S. Sayuk

Research output: Contribution to journalReview articlepeer-review

Abstract

Gallbladder dyskinesia is a functional disorder of the gastrointestinal tract, which can result in debilitating episodes of abdominal pain and associated symptoms. Key diagnostic criteria include a diminished gallbladder ejection fraction on scintigraphy and absence of other causes for the symptoms. Pathologic findings and follow-up suggest a distinct mechanistic basis for this condition. Unfortunately, the complexities of diagnosis and treatment combined with patient and provider preferences will likely continue to preclude randomized controlled studies to provide a clearer evidence-based management for this disorder. Patients meeting the clinical and diagnostic criteria for gallbladder dyskinesia should be referred for cholecystectomy, and most of these patients will have relief of their symptoms. A comprehensive preoperative discussion on expected outcomes needs to take place.

Original languageEnglish
Pages (from-to)838-841
Number of pages4
JournalSouthern medical journal
Volume115
Issue number11
DOIs
StatePublished - Nov 1 2022

Keywords

  • cholecystectomy
  • dyskinesia
  • ejection fraction
  • gallbladder

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