Biliary Dyskinesia
Sphincter of Oddi
Dyskinesia, Drug-Induced
Comparison of fatty meal and intravenous cholecystokinin infusion for gallbladder ejection fraction. (1/18)
Gallbladder ejection fraction (GBEF) measured with a fatty meal (half-and-half milk) was compared with that measured with 2 equal sequential intravenous infusions of cholecystokinin (CCK-8) in a paired study of healthy subjects. METHODS: GBEF was measured by (99m)Tc-hepatic iminodiacetic acid cholescintigraphy in 13 healthy subjects. Each subject received 2 sequential doses of CCK-8 (3 ng/kg/min for 10 min) on day 1, followed by, on day 2, a 240-mL (8 oz) fatty meal (half-and-half milk) per 70 kg of body weight. RESULTS: The mean +/- SD GBEF of 53.6% +/- 20.2% with fatty meal was significantly lower than the mean of 75.8% +/- 16.3% (P < 0.01) with the first dose of CCK-8 and 71.3% +/- 17.4% (P < 0.05) with the second dose. Fatty meal GBEF varied widely, from 23.5% to 91.8%. Percentile rankings of the fatty meal GBEF were determined as the preferred methodology for reporting results. Latent and ejection periods were significantly longer with fatty meal than with either dose of CCK-8. CONCLUSION: GBEF measured with fatty meal can serve as an alternative method to intravenous injection of CCK-8 when the hormone is no longer available for clinical use. The measurement of GBEF with fatty meal requires careful attention to the details of the meal and the measurement time sequence. (+info)Gallbladder disease: an update on diagnosis and treatment. (2/18)
This paper reviews the clinical presentation of gallstone disease, acalculous cholecystitis, biliary dyskinesia, and gallbladder cancer, as well as how to make best use of current diagnostic and treatment methods, particularly ultrasonography, cholescintigraphy, laparoscopic cholecystectomy, and endoscopic retrograde cholangiopancreatography. (+info)Usefulness of cholescintigraphy with lipid meal loading for diagnosis and determination of cholecystectomy in a patient with gallbladder dysfunction. (3/18)
A 47-year-old woman was admitted to our hospital because of upper abdominal and back pain. Abdominal ultrasonogram, computed tomogram, endoscopic retrograde cholangiopancreatography and arteriography examination did not reveal any abnormalities. As cholescintigraphy after lipid meal loading detected dysfunction of the gallbladder, we diagnosed dyskinesia of the gallbladder. And the output ratio of the gallbladder from scintigraphy was less than 1%. Cholecystectomy completely relived her from symptoms. Histological examination disclosed chronic cholecystitis and arteritis causing dysfunction of the gallbladder. This case suggested the usefulness of cholescintigraphy with lipid meal loading for gallbladder dysfunction in determining whether or not to do cholecystectomy. (+info)Evaluation of the biliary tract in patients with functional biliary symptoms. (4/18)
The aim of this paper was to describe functional biliary syndromes and methods for evaluation of the biliary tract in these patients. Functional biliary symptoms can be defined as biliary symptoms without demonstrable organic substrate. Two main syndromes exist: Gallbladder dysfunction and sphincter of Oddi dysfunction. The most important investigative tools are cholescintigraphy and endoscopic sphincter of Oddi manometry. In gallbladder dysfunction a scintigraphic gallbladder ejection fraction below 35% can select patients who will benefit from cholecystectomy. Endoscopic sphincter of Oddi manometry is considered the gold standard in sphincter of Oddi dysfunction but recent development in scintigraphic methods is about to change this. Thus, calculation of hilum-to-duodenum transit time and duodenal appearance time on cholescintigraphy have proven useful in these patients. In conclusion, ambient methods can diagnose functional biliary syndromes. However, there are still a number of issues where further knowledge is needed. Probably the next step forward will be in the area of sensory testing and impedance planimetric methods. (+info)Bile causing an acute scrotum immediately after laparoscopic cholecystectomy. (5/18)
We report our experience with a patient that developed an acute right hemiscrotum immediately after undergoing an uncomplicated laparoscopic cholecystectomy for gallbladder dyskinesia. The etiology of the acute scrotal pain was due to bile which was spilled into the peritoneum after entry into the gallbladder during dissection. The bile obtained access to the right hemiscrotum via a communicating hydrocele. To the best of our knowledge this is the first report of bile causing an acute scrotum following laparoscopic surgery. A review of the current literature on the topic of the postoperative acute scrotum follows our case presentation. (+info)The learning curve with single-port cholecystectomy. (6/18)
OBJECTIVES: Single-port surgery is a rapidly advancing technique in laparoscopic surgery. Currently, there is limited evidence on the learning curve and practicality of performing single-port laparoscopic cholecystectomy. METHODS: Single-port cholecystectomy was performed on 20 consecutive patients for biliary dyskinesia, symptomatic cholelithiasis, or acute cholecystitis. The Tri-Port was placed in the umbilicus, and a combination of straight and articulating instruments were utilized. Patient characteristics and outcomes were reviewed, and a comparison was made with the prior 20 consecutive laparoscopic cholecystectomies performed using the 3-port technique. RESULTS: Characteristics were similar in both groups. The 3-port cholecystectomy had a mean time of 65.7 minutes, and patients had an average body mass index of 28.16. The first single-port cholecystectomy took 160 minutes with sequential improvement to the sixth case of 66 minutes with a mean of 68.2 minutes for the last 15 single-port cases. The average patient body mass index was 30.24. No major complications occurred. CONCLUSION: The largest series to date of single-port cholecystectomy for multiple degrees of biliary disease is presented. This study validates that this technique can be applied effectively and performed in comparable operative times to traditional 3-port cholecystectomy with a learning curve of approximately 5 cases. (+info)Post-cholecystectomy syndrome: spectrum of biliary findings at magnetic resonance cholangiopancreatography. (7/18)
(+info)Large subcapsular liver hematoma following single-incision laparoscopic cholecystectomy. (8/18)
(+info)Treatment for biliary dyskinesia typically involves medications to relieve symptoms and reduce inflammation. In severe cases, surgery may be necessary to remove damaged or diseased bile ducts.
Biliary dyskinesia is also known as biliary contractility disorder or biliary spasm. It is important to note that this condition is relatively rare and typically affects individuals with pre-existing liver disease.
Dyskinesias can be caused by a variety of drugs, including:
1. Antipsychotic medications: These drugs are commonly used to treat conditions such as schizophrenia and bipolar disorder.
2. Antidepressant medications: Certain antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), can cause dyskinesias.
3. Anti-anxiety medications: Benzodiazepines can cause dyskinesias, especially at high doses or with long-term use.
4. Opioids: These drugs can cause dyskinesias as a side effect, particularly when taken in high doses or for prolonged periods.
5. Antihistamines: Some antihistamines can cause dyskinesias, especially in older adults.
6. Anticonvulsants: Certain anticonvulsant medications, such as valproate and carbamazepine, can cause dyskinesias.
7. Corticosteroids: Long-term use of corticosteroids can lead to dyskinesias, especially in the face and limbs.
The symptoms of drug-induced dyskinesias can vary depending on the type of medication being taken and the individual's response to it. Common symptoms include:
1. Involuntary movements of the face, arms, legs, or trunk
2. Jerky or twitching movements
3. Tremors or shaking
4. Slow, rigid movements
5. Lack of coordination and balance
6. Difficulty with speech and swallowing
7. Fatigue and weakness
If you are experiencing dyskinesias as a result of medication, it is important to speak with your healthcare provider. They may be able to adjust your medication regimen or recommend alternative treatments to help manage the symptoms. In some cases, discontinuing the medication that is causing the dyskinesias may be necessary. Additionally, your healthcare provider may recommend other therapies, such as physical therapy or speech therapy, to help improve your mobility and communication skills.
Biliary dyskinesia
Cholescintigraphy
Băile Tușnad
Florantyrone
Cholecystectomy
Sphincter of Oddi dysfunction
Dyskinesia
Abdominal pain
Gallbladder disease
Ursodeoxycholic acid
List of hepato-biliary diseases
Cholestasis
List of MeSH codes (C06)
List of diseases (P)
Fumaria officinalis
Trepibutone
Biliary disease
Entacapone
5-HT3 antagonist
Situs ambiguus
Peter Elliott (pharmacologist)
Hydroxyzine
Opioid
List of MeSH codes (C23)
Major histocompatibility complex, class I-related
Single-Port Cholecystectomy: Background, Indications, Contraindications
RFA-NS-18-046: Analytical and/or Clinical Validation of a Candidate Biomarker for Pain (R61/R33 Clinical Trial Optional)
Outcomes of Single Incision Cholecystectomies in a Non-select Patient Group - SAGES Abstract Archives
Gallstones (Cholelithiasis) Treatment & Management: Approach Considerations, Treatment of Asymptomatic Gallstones, Treatment of...
MeSH Browser
Disorders of digestive system - Recommendations on SCENAR and COSMODIC treatment - SCENAR-therapy
MeSH Browser
Cholestasis and biliary dilatation associated with chronic ketamine abuse: a case series - PubMed
Lexical Tools
DeCS
Pesquisa | Biblioteca Virtual em Saúde - BRASIL
Artemisin - an effective de-worming and the normalization of digestion
Drugs - Vishpha
When dyskinesia | Normoflorin - used to prevent
SCTID SNOMED CT Fully Specified Name
Minh Luu | Profiles RNS
DeCS 2018 - July 31, 2018 version
Pesquisa | Portal Regional da BVS
ابن سينا طبCholecystectomy - ابن سينا طب
organic fruits and vegetables Archives - Gallbladder Attack
MRSA | The Journal of Critical Care Medicine
Lexical Tools
T000001A 23187
CLASSIFICATION OF DISEASES AND INJURIES
Entrevistas
DailyMed - LEVORPHANOL TARTRATE tablet
Biliary Atresia | Children's Liver Foundation
F. Brooks Hodnette, Jr. | The Surgery Group
Hemarthrosis - HealthCop.com - Your Health Cop
Cholecystitis3
- 7. [Biliary infections : cholecystitis and cholangitis]. (nih.gov)
- Biliary pathologies included acute cholecystitis, symptomatic cholelithiasis, biliary dyskinesia and gallstone pancreatitis. (sages.org)
- With the care of a skilled GI physician, gallbladder disorders like gallstones, biliary dyskinesia, and cholecystitis are all detectable and treatable. (hgia.net)
Tract13
- A brief review of our present knowledge of the physiology of bile flow and the spectrum of functional biliary tract disorders will be outlined to help explain possible factors which may be involved in biliary tract dysmotility disturbances. (nih.gov)
- 2. Biliary tract emergencies. (nih.gov)
- 15. Quantitative assessment of severity of biliary tract infection. (nih.gov)
- 18. Emergencies of the biliary tract. (nih.gov)
- Drugs for treatment of diseases of a liver and biliary tract. (rxeli.com)
- Dyskinesia of the gastrointestinal tract - helps you Normoflorin? (netlify.app)
- Dyskinesia of the gastrointestinal tract is often complicated and inflammatory processes in the stomach and intestines, it is chronic gastritis, enterocolitis, gastric ulcer and duodenal ulcer. (netlify.app)
- When dyskinesia of the gastrointestinal tract is recommended to conduct a comprehensive treatment. (netlify.app)
- Therefore, treatment of dyskinesias gastrointestinal tract must be complex. (netlify.app)
- Dyskinesia biliary tract and gallbladder leads to bile very concentrated and the formation of stones. (netlify.app)
- In addition, the rehabilitation of the bowel Normoflorin lead to activation of metabolism, and this in turn will help restore proper movement of smooth muscles of biliary tract and gallbladder. (netlify.app)
- In parallel, the frequency of operations on the biliary tract is increasing, and with this - Number of complications, re «Putting» patients on the operating table and leading to disability. (mymedinform.com)
- In addition to abnormally positioned internal organs, primary ciliary dyskinesia is characterized by chronic respiratory tract infections and an inability to have children (infertility). (medlineplus.gov)
Scintigraphy for diagnosis2
- Use of endoscopic gallbladder stenting and biliary scintigraphy for diagnosis of gallbladder dyskinesia: a case report. (bvsalud.org)
- 11. Poor Reproducibility of Gallbladder Ejection Fraction by Biliary Scintigraphy for Diagnosis of Biliary Dyskinesia. (nih.gov)
Colic2
- In addition to the typical pain (biliary colic) of having a gallstone, a person may have a fever, nausea, vomiting, malaise, and/or a loss of appetite. (verywellhealth.com)
- A motility disorder characterized by biliary COLIC , absence of GALLSTONES , and an abnormal GALLBLADDER ejection fraction. (nih.gov)
GALLSTONES3
- No gallstones were detected on imaging tests, but papillary insufficiency or dyskinesia of the gallbladder was suspected and biliary scintigraphy was performed. (bvsalud.org)
- Gallstones are hard deposits of substances in the bile that can get stuck inside the gallbladder and biliary ducts. (healthline.com)
- This happens when gallstones have moved to the common bile duct where they may be stuck, causing a blockage that doesn't allow the gallbladder or rest of the biliary tree to drain. (healthline.com)
Hepatobiliary3
- 8. Diagnosis of gallbladder dyskinesia by quantitative hepatobiliary scintigraphy. (nih.gov)
- Role of hepatobiliary scintigraphy in the evaluation and management of post-cholecystectomy pain due to biliary dyskinesia. (who.int)
- We report a case of post-cholecystectomy pain due to biliary dyskinesia diagnosed by 99m TC-HIDA hepatobiliary imaging. (who.int)
Acute2
Cholecystectomy6
- Role of laparoscopic cholecystectomy in the management of chronic right upper quadrant pain due to biliary dyskinesia: a systematic review and meta-analysis. (iasp-pain.org)
- The objective of this study was to evaluate the surgical outcomes and feasibility of performing laparoscopic cholecystectomy (LC) in patients with longstanding right upper quadrant pain secondary to biliary dyskinesia. (iasp-pain.org)
- Endoscopic gallbladder stenting may be useful for the diagnosis of gallbladder dyskinesia and for determining the efficacy of cholecystectomy . (bvsalud.org)
- 6. Laparoscopic cholecystectomy for biliary dyskinesia: Which patients have long term benefit? (nih.gov)
- 14. Management of gallbladder dyskinesia: patient outcomes following positive ⁹⁹mtechnetium (Tc)-labelled hepatic iminodiacetic acid (HIDA) scintigraphy with cholecystokinin (CCK) provocation and laparoscopic cholecystectomy. (nih.gov)
- 15. Abnormal gallbladder nuclear ejection fraction predicts success of cholecystectomy in patients with biliary dyskinesia. (nih.gov)
Hepatic1
- 9. Evaluation of hepatic functions and biliary dynamics in patients with liver cirrhosis by quantitative scintigraphy. (nih.gov)
Cholangitis1
- History of HIV or AIDS: AIDS-related cholangitis is characterized by extrahepatic biliary edema, ulceration, and obstruction. (medscape.com)
Obstruction2
- Biliary dyskinesia describes a syndrome of biliary duct system obstruction related to a functional abnormality of the sphincter of Oddi. (verywellhealth.com)
- The biliary ductal dilatation is usually late response of obstruction. (who.int)
Ducts1
- Biliary scintigraphy showed delayed excretion of radionuclides from the gallbladder and bile ducts into the duodenum . (bvsalud.org)
Endoscopic1
- We suspected gallbladder dyskinesia and performed endoscopic gallbladder stenting, after which her symptoms disappeared and biliary scintigraphy showed improved excretion of radionuclides into the duodenum . (bvsalud.org)
Laparoscopic1
- In December 2008, we began offering all patients referred to the general surgery service for benign biliary disease the choice between traditional laparoscopic and single incision cholecystectomies. (sages.org)
Inflammation2
- Biliary dyskinesia, inflammation or infection of the gallbladder was reported for 20 women (5%) and of those 13 had undergone gallbladder surgery. (nih.gov)
- Anomalies in the structure, biliary dyskinesia and developing on this basis fermentopathy, dysbiosis and constipation provoke the development of chronic inflammation in the intestine, disruption of its basic functions. (rv.ua)
Gall bladder1
- I am suffering from biliary dyskinesia or a low function gall bladder. (empowher.com)
Diagnosis1
- 1. Ultrasonographic evaluation of fatty meal stimulated gallbladder contraction in the diagnosis of biliary dyskinesia in children. (nih.gov)
Excretion1
- Biliary scintigraphy also showed delayed excretion of radionuclides , especially stagnation of radionuclides in the gallbladder . (bvsalud.org)
Abdominal2
Dysfunction1
- It is caused by gallbladder dyskinesia and/or SPHINCTER OF ODDI DYSFUNCTION . (nih.gov)
Pain1
- Biliary III-patients with only biliary-type pain and no other abnormalities. (nih.gov)
Disorder2
- SO stenosis: defined as a structural narrowing of part or all of the SO segment, and 2) SO dyskinesia: defined as a primary disorder of SO tonic/phasic motor activity. (nih.gov)
- Dyskinesia gastrointestinal disorder characterized by the tone and peristaltic movements of these bodies. (netlify.app)
Organs2
- Dyskinesia - a violation of the motor activity of muscles of internal organs with smooth muscles. (netlify.app)
- When biliary dyskinesia gallbladder and disrupted the smooth muscles of these organs. (netlify.app)
Management1
- 6997 Cholecystokinin sonogram (cck us) and sphincter of oddi manometry (som): comparison and in the management of biliary dyskinesia (bd). (utoledo.edu)
Patients1
- A few of these patients may have primary SO dyskinesia. (nih.gov)
Primary1
- For example, at least 12 percent of people with a condition called primary ciliary dyskinesia have heterotaxy syndrome. (medlineplus.gov)
Case1
- Biliary dyskinesia - what effect Normoflorin in this case? (netlify.app)
Surgery1
- Current practices in biliary surgery: Do we practice what we teach? (rush.edu)
Improvement1
- 2. Prediction of symptom improvement in children with biliary dyskinesia. (nih.gov)