Ive been having quite a classic case of
gallbladder symptoms but have a clear
(stone-free) ultrasound, so my doctor sent
me for a HIDA scan to rule out biliary
dyskinesia. The results came back with an
ejection fraction of 23.8%. I know that
this is abnormal, but the doctor says its
only mildly so and shes not sure what the
surgeon will want to do. In the meantime,
Im battling rather unpredictable pain,
nausea, and occasional belching problems.
Im wondering how likely it is that the
surgeon will decide to operate?
Also, is it possible to have gallbladder
attacks from not eating?
The surgeon needs to be sure about the
diagnosis before any action is taken.
First, all diseases and conditions that
might have the same symptoms as biliary
dyskinesia must be excluded : hepatitis,
cholecystitis, choledocolithiasis,
cholelithiasis, gastritis, peptic ulcer of
the stomach or duodenum, pancreatitis,
tumors, etc. This process requires several
diagnostic tests and procedures (liver
profile, standard blood analyses,
”Helicobacter pilori”-serolgy,
ultrasound, HIDA-scanning, CD-scanning,
and endoscopy). If all these tests are
negative and the HIDA-scan shows
gallbladder ejection fraction less then
35%, then laparoscopic cholecystectomy may
be indicated. The surgeon will decide on
that. Finally, fatty and spicy foods
usually provoke gallbladder attacks.
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