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Updated: Jan 28, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Cholecystectomy for Biliary Hyperkinesia.

Joshua Gazzetta, Betty Fan, Paul Bonner

    The American Surgeon
    |March 2, 2019
    PubMed
    Summary
    This summary is machine-generated.

    Patients with biliary hyperkinesia (gallbladder ejection fraction ≥ 80%) who underwent surgery experienced significant symptom relief. Laparoscopic cholecystectomy appears to be a successful treatment for this condition, improving gallbladder disease.

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    Area of Science:

    • Gastroenterology
    • Surgical Innovation
    • Hepatobiliary Medicine

    Background:

    • Biliary colic symptoms with high gallbladder ejection fraction (GEF) are understudied.
    • The efficacy of cholecystectomy for biliary hyperkinesia remains unclear.

    Purpose of the Study:

    • To determine if laparoscopic cholecystectomy benefits patients with biliary-type pain and biliary hyperkinesia (GEF ≥ 80%).

    Main Methods:

    • Retrospective chart review of 97 patients (≥ 16 years) undergoing laparoscopic cholecystectomy for biliary hyperkinesia.
    • Analysis of pathology reports for cholecystitis and postoperative symptom resolution.

    Main Results:

    • 84.5% of patients had positive gallbladder disease findings on pathology.
    • 70 out of 77 (90.9%) patients reported symptom improvement or resolution post-surgery.

    Conclusions:

    • Symptomatic biliary hyperkinesia can be successfully treated with laparoscopic cholecystectomy.
    • Surgery offers significant symptom relief for patients with high GEF biliary pain.