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:
Clinical DDx:
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==Microscopic==
==Microscopic==
Features:
Features:
*Non-specific - may have features of [[chronic cholecystitis]].<ref name=pmid26670710/>
*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

Symptoms:

  • Chronic abdominal pain.[2]

Clinical DDx:

Microscopic

Features:

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. 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. 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.
  3. 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.