DISCINESIA BILIAR PDF

Conclusion Biliary Dyskinesia is a medical disorder that occurs when the normal peristaltic mechanism of the gallbladder, the biliary tree and the sphincter of Oddi. In essence, it is simply a motility disorder where no underlying cause of the syndrome can be immediately elicited. This is a misleading disorder as that this can be confused with the actual acute cholecystitis secondary to cholelithiasis or stones in the gallbladder. The latter is a formidable and critical disease on its own and requires emergent medical intervention in order to avoid potential devastating complications. We will review the biliary system and its associated organs to get a glimpse of how biliary dyskinesia or better known as acalculous cholecystopathy occurs. In order for the biliary system to work in concert, there must be a coordinated signaling of hormones and stimuli that enable the secretion of much needed enzymes.

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Abstract Acute pain over the right hypochondrium in a patient with normal ultrasonographic findings leads to the diagnostic possibility of acute cholecystitis or biliary dyskinesia.

Confirmation of such diagnosis requires hepatobiliary scintigraphy HIDA. When the gallbladder exhibits normal concentration time, one should procede with stimulation by cholecystokinin CCK. Fifteen patients were women Mean age was Six of these patients underwent laparoscopic cholecystectomy.

The other five refused operation. In the group of 11 patients without gallbladder dysfunction that were medically treated, 9 classified themselves as Visick II. The advent of laparoscopic cholecystectomy with the excellent associated results makes this procedure the therapeutic modality of choice for biliary symptomatic dyskinesia.

Referencias 1. En: Restrepo J. Acalculous biliary pain: cholecytectomy alleviates symptoms in patients with abnormal cholescintigraphy. Gastroenterology ; Results of surgical therapy for biliary dyskinesia. Arch Surg ; 57 — Cholecystectomy is a effective treatment for biliary dyskinesia. Am J Surg ; GEN ; Abnormal gallbladder nuclear ejecution fraction predicts success of cholecystectomy in patients with biliary dyskinesia. The clinical diagnosis of chronic acalculous cholecystitis.

Surgery ; — Chronic right upper quadrant pain without gakkstones: does HIDA scan predict outcome after cholecystectomy?. Am J Gastroenterol ; Physicology and pathophysiology of gallbladder motility. Surg Clin North Am ; — The role of sincalide cholescintigraphy in the evaluation of patient with acalculous gallbladder disease.

Arch Surg ; Rev Gastroenterol Mex ; Arch Surg ; Biliary dyskinesia: natural history and surgical results. Am Surg ; Cholecystokinin cholescintigraphy: clinical indications and proper methodology. Radiol Clin North Am ;

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