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Gallbladder Dyskinesia
Michael E Presti1, Jill E Elwing1, Gregory S Sayuk1
1From the Division of Gastroenterology and Hepatology, Saint Louis University, and the Division of Gastroenterology, Washington University in St. Louis, St. Louis, Missouri.
Southern Medical Journal
|November 1, 2022
Summary
Gallbladder dyskinesia causes abdominal pain and requires a low gallbladder ejection fraction for diagnosis. Cholecystectomy is recommended for symptom relief in diagnosed patients.
Area of Science:
- Gastroenterology
- Functional Gastrointestinal Disorders
Background:
- Gallbladder dyskinesia is a functional gastrointestinal disorder causing severe abdominal pain.
- Diagnosis relies on reduced gallbladder ejection fraction (GB-EF) via scintigraphy, excluding other causes.
Purpose of the Study:
- To review the diagnostic criteria and management of gallbladder dyskinesia.
- To highlight the role of cholecystectomy in managing this condition.
Main Methods:
- Review of clinical criteria for gallbladder dyskinesia.
- Analysis of diagnostic findings, including gallbladder ejection fraction.
- Evaluation of treatment outcomes, focusing on cholecystectomy.
Main Results:
- Gallbladder dyskinesia is characterized by diminished GB-EF and abdominal pain.
- Randomized controlled trials are limited due to diagnostic and treatment complexities.
- Cholecystectomy offers symptom relief for most patients meeting diagnostic criteria.
Conclusions:
- Gallbladder dyskinesia requires careful diagnosis and management.
- Surgical intervention (cholecystectomy) is the primary treatment for symptomatic patients.
- Preoperative counseling regarding expected outcomes is essential for patient preparation.
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