Biliary Dyskinesia: Fact or fiction?

M Coluccio; A J Claffey; D H Rothstein

doi:10.1016/j.sempedsurg.2020.150947

Biliary Dyskinesia: Fact or fiction?

Semin Pediatr Surg. 2020 Aug;29(4):150947. doi: 10.1016/j.sempedsurg.2020.150947. Epub 2020 Jul 23.

Authors

M Coluccio¹, A J Claffey¹, D H Rothstein²

Affiliations

¹ University at Buffalo Jacobs School of Medicine and Biomedical Sciences, 818 Ellicott St, Buffalo, New York, 14203, USA.
² Department of Surgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, 818 Ellicott St, Buffalo, New York, 14203, USA; Department of Pediatric Surgery, John R. Oishei Children's Hospital, 818 Ellicott St, Buffalo, New York, 14203, USA. Electronic address: drothstein@kaleidahealth.org.

PMID: 32861451
DOI: 10.1016/j.sempedsurg.2020.150947

Abstract

Nearly 20,000 pediatric patients undergo cholecystectomy annually, and abnormal gallbladder emptying ("biliary dyskinesia") has replaced cholelithiasis as the leading indication for this operation in the USA. Nonetheless, patients with abnormal gallbladder emptying nuclear medicine scans do not uniformly benefit from cholecystectomy. This article reviews the available data on presentation, workup and treatment of patients with abnormally low and high rates of gallbladder emptying.

Keywords: Biliary dyskinesia; Biliary hyperkinesia; Cholecystectomy; Gallbladder emptying.

Publication types

Review

MeSH terms

Biliary Dyskinesia / diagnosis*
Biliary Dyskinesia / drug therapy
Biliary Dyskinesia / surgery
Biliary Dyskinesia / therapy*
Cholecystectomy*
Humans