Shireesh Saurabh, MD, Benjamin Green, DO. Mercy Iowa City
INTRODUCTION: Most studies recommend cholecystectomy for patients with biliary dyskinesia, defined by gallbladder ejection fraction (GBEF) of less than 35 – 40% on HIDA scan. There are no recommendations regarding management of hyperkinetic gallbladder defined by GBEF of more than 80% on HIDA scan. The aim of our study was to evaluate the outcome of cholecystectomy on patients with biliary colic and hyperkinetic gallbladder.
METHODS AND PROCEDURES: A retrospective chart review of all the patients with hyperkinetic gallbladder who underwent cholecystectomy in our practice from July 2014 to August 2017 was performed. Data collection included age, gender, body mass index (BMI), preoperative symptoms, comorbidities, additional tests, ejection fraction, surgery and histopathology of the gallbladder. Symptoms outcome was assessed during routine 2 weeks postoperative visit and a follow up phone interview.
RESULTS: 27 patients had undergone laparoscopic cholecystectomy during the study period for symptomatic hyperkinetic gallbladder. 26 (96.2%) patients had abdominal pain related to food intake and 16 (59.2%) patients had worsening of symptoms with CCK infusion. The average GBEF was 92%. Chronic cholecystitis was seen in 25 (92.6%) patients on pathology. 23 (85%) patients had complete resolution of symptoms, 2 (7.4%) had partial resolution of symptoms and 2 (7.4%) had no change in symptoms.
CONCLUSION: Patients with biliary colic and hyperkinetic gallbladder respond favorably to laparoscopic cholecystectomy. We believe symptomatic hyperkinetic gallbladder should be an indication for cholecystectomy.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 85091
Program Number: S017
Presentation Session: Biliary Session
Presentation Type: Podium