in september, after having abdominal pains
and naseau (with some vomiting), my
gastroenterologist (first time i'd ever
been to one) suggested an abdominal
ultrasound (for which they found small
gallstones, nothing "earth shatting", no
thickening of gallbladder wall, and
kidneys and liver good). I also had an
endoscopy and it revealed I had a small
hiatal hernia, gastritis, and reflux, for
which I take nexium, and have changed my
diet to reflect very low fat.
I have been pretty good.
Wednesday night I had, what I do believe,
was a gallbladder attack. Pain lasting
for hours and hours (with no relief),
naseau, with vomiting. Pain started in
center of chest, below breasts, and
radiated to right side (under rib).
Called the gastroenterologist and he
suggested a nuclear test with cck (hida
scan?). After discussion with some
people, a Dr. On an on-line forum
suggested that this is not protocal and
could actually lodge a stone in the bile
duct and cause emergency surgery, so i've
cancelled my appt. And would like to make
an appt. With the surgeon (gallbladder
specialist) my mother used for her
gallbladder surgery years ago.
What would you recommend as standard
protocal to test the gallbladder prior to
recommending surgery?
Thanks!
Lori
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Protocol For Gb Tests Posted: 03-26-06 00:18am
If the symptoms indicate gallbladder
disease the 1st test is a gallbladder
ultrasound. You must fast at least 8
ours for a gallbladder ultrasound. This
will pick up obvious signs of infection,
like fluid around the gallbladder. It
will also detect gallstones. If there
are no gallstones, it is safe to do the
nuclear scan with cck (hida scan with
ejection fraction). You must be fasting
for at least four hours for this scan. I
reccomend fasting no longer than 12 hours.
(preferably 8). No prescription pain
medicines for at least 8 hours prior to
the scan.
A gallbladder ejection fraction less
than 25% is abnormal, 25 - 50% is
equivical, greater than 50% is normal.
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Gallstones Posted: 03-26-06 10:09am
Since I already had an adominal ultrasound
in september that showed small gallstones,
it isn't really highly recommended that I
get a cck, as it could lodge a stone in
the bile duct, necessitating emergency
surgery.
Perhaps the surgeon will recommend I get
another gallbladder ultrasound, and a hida
scan - if necessary, without the cck!?
Lori
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Mikey1970
New User, Becoming EHEALTHy
Joined: 31 Mar 2006 Posts: 10 Location: Louisiana
Re: Gallstones Posted: 03-31-06 19:22pm
mymeka
wrote:
since I already had an
adominal ultrasound in september that
showed small gallstones, it isn't really
highly recommended that I get a cck, as it
could lodge a stone in the bile duct,
necessitating emergency surgery.
Perhaps the surgeon will recommend I get
another gallbladder ultrasound, and a hida
scan - if necessary, without the cck!?
Lori
lori, it is a controversial subject.
It is not universally accepted that cck
is a no-no on a patient with gallstones.
The risk is small and probably won't make
emergency surgery needed. But a
gallstone passing through the bile ducts
may be very painful, and the irritation
could cause other problems. Our dr's
don't do it. I wouldn't do it. But
discuss the risks vs benifits with your dr
about your specific case.
A hida without cck is fine.
