Difference between revisions of "Biliary dyskinesia"
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*[[Clinical diagnosis]] - based on radiology. | *[[Clinical diagnosis]] - based on radiology. | ||
*Definition: ''gallbladder ejection fraction'' (GBEF) <35%.<ref name=pmid26670710/> | *Definition: ''gallbladder ejection fraction'' (GBEF) <35%.<ref name=pmid26670710/> | ||
Symptoms: | |||
*Chronic abdominal pain.<ref name=pmid10359196/> | |||
Clinical DDx: | |||
*[[Gastroesophageal reflux disease]].<ref name=pmid21706177>{{Cite journal | last1 = Karnsakul | first1 = W. | last2 = Vaughan | first2 = R. | last3 = Kumar | first3 = T. | last4 = Gillespie | first4 = S. | last5 = Skitarelic | first5 = K. | title = Evaluation of gastrointestinal pathology and treatment in children with suspected biliary dyskinesia. | journal = Pediatr Surg Int | volume = 27 | issue = 12 | pages = 1307-12 | month = Dec | year = 2011 | doi = 10.1007/s00383-011-2941-1 | PMID = 21706177 }}</ref> | |||
==Microscopic== | ==Microscopic== | ||
Features: | Features: | ||
*Non-specific | *Non-specific findings<ref name=pmid26670710/> or features of [[chronic cholecystitis]]<ref name=pmid10359196>{{Cite journal | last1 = Dumont | first1 = RC. | last2 = Caniano | first2 = DA. | title = Hypokinetic gallbladder disease: a cause of chronic abdominal pain in children and adolescents. | journal = J Pediatr Surg | volume = 34 | issue = 5 | pages = 858-61; discussion 861-2 | month = May | year = 1999 | doi = | PMID = 10359196 }}</ref> - dependent on study. | ||
DDx: | |||
*[[Chronic cholecystitis]]. | |||
==Sign out== | |||
<pre> | |||
Gallbladder, Cholecystectomy: | |||
- Gallbladder with mild chronic inflammation without entrapped | |||
epithelial crypts. | |||
Comment: | |||
The clinical finding of biliary dyskinesia is noted. | |||
</pre> | |||
==See also== | ==See also== | ||
Latest revision as of 19:43, 2 March 2017
Biliary dyskinesia is a hypomotility disorder of the biliary tract. It is an indication for cholecystectomy.[1]
General
- Clinical diagnosis - based on radiology.
- Definition: gallbladder ejection fraction (GBEF) <35%.[1]
Symptoms:
- Chronic abdominal pain.[2]
Clinical DDx:
Microscopic
Features:
- Non-specific findings[1] or features of chronic cholecystitis[2] - dependent on study.
DDx:
Sign out
Gallbladder, Cholecystectomy:
- Gallbladder with mild chronic inflammation without entrapped
epithelial crypts.
Comment:
The clinical finding of biliary dyskinesia is noted.
See also
References
- ↑ 1.0 1.1 1.2 Jones, PM.; Rosenman, MB.; Pfefferkorn, MD.; Rescorla, FJ.; Bennett, WE. (Jul 2016). "Gallbladder Ejection Fraction Is Unrelated to Gallbladder Pathology in Children and Adolescents.". J Pediatr Gastroenterol Nutr 63 (1): 71-5. doi:10.1097/MPG.0000000000001065. PMID 26670710.
- ↑ 2.0 2.1 Dumont, RC.; Caniano, DA. (May 1999). "Hypokinetic gallbladder disease: a cause of chronic abdominal pain in children and adolescents.". J Pediatr Surg 34 (5): 858-61; discussion 861-2. PMID 10359196.
- ↑ Karnsakul, W.; Vaughan, R.; Kumar, T.; Gillespie, S.; Skitarelic, K. (Dec 2011). "Evaluation of gastrointestinal pathology and treatment in children with suspected biliary dyskinesia.". Pediatr Surg Int 27 (12): 1307-12. doi:10.1007/s00383-011-2941-1. PMID 21706177.