Biliary dyskinesia
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Biliary dyskinesia is a hypomotility disorder of the biliary tract. It is an indication for cholecystectomy.[1]
General
- Clinical diagnosis - based on radiology.
- Definition: gallbladder ejection fraction (GBEF) <35%.[1]
Symptoms:
- Chronic abdominal pain.[2]
Clinical DDx:
Microscopic
Features:
- Non-specific findings[1] or features of chronic cholecystitis[2] - dependent on study.
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
- ↑ 1.0 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.
- ↑ 2.0 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.
- ↑ 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.