alexa Normokinetic Biliary Dyskinesia: A Novel Diagnosis | 9995
ISSN: 2161-1076

Surgery: Current Research
Open Access

Like us on:

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

2nd International Conference on Surgery and Anesthesia

Christopher Du Coin
Accepted Abstracts: Surgery Curr Res
DOI: 10.4172/2161-1076.S1.014
Background: Biliary dyskinesia diagnosed with CCK-HIDA scan and ejection fraction less than 35% has been successfully treated by laparoscopic cholecystectomy. However, there is a population of patients with symptomatic biliary pain and a normal CCK- HIDA scan that never receive a diagnosis, and thus no definitive treatment. Some of these patients report a reproducible pain during their CCK-HIDA scan. It is hypothesized that these patients with an ejection fraction greater than 35% and reproducible biliary pain during the CCK-HIDA scan will have resolution of pain when treated with cholecystectomy. Methods: A retrospective chart review was completed looking for patients with biliary pain in accordance with the ROME III criteria. Additional inclusion criteria were 1) greater than 18 years of age, 2) reproducible biliary symptoms during the CCK- HIDA scan, and 3) an ejection fraction greater than 35%. Treatment modality was laparoscopic cholecystectomy. Descriptive statistics were preformed and data reported as mean ? standard deviation and range. Results: Nineteen patients met the inclusion criteria for this study from August 2008 to July 2011. There were 15 women and 4 men with a mean age of 48.4?13.0 years. The mean ejection fraction was 75.1?19.4%. The average duration of pre-operative symptoms was 6.8?5.9 months and post-operative follow up was 21.8?10.6 months. Seventeen patients had complete resolution of symptoms, one had partial resolution, and one had no change. There was a complete resolution rate of 89.5% and an improvement rate of 94.7%. Conclusion: We suggest that patients who present with biliary pain and a normal CCK-HIDA scan with an ejection fraction greater than 35% and with reproducible symptoms on infusion of CCK will benefit from cholecystectomy. Currently theses patients are excluded from the diagnosis of biliary dyskinesia, and thus treatment. We hypothesize a new diagnosis, normokinetic biliary dyskinesia and recommend cholecystectomy as treatment.
Christopher Du Coin is a chief surgery resident in the Department of Surgery at Orlando Health in Orlando, Florida. He holds a joint appointment as a resident instructor in the College of Medicine at the University of Central Florida. He received his medical degree from St. George's School of Medicine and a Master's of Public Health from Tulane University.
image PDF   |   image HTML

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Business & Management Journals


[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
Leave Your Message 24x7