Abstract
The routine investigation for patients with suspected biliary pain is a trans-abdominal ultrasound scan [1]. Whilst ultrasound is minimally invasive, low cost and easy to perform, their accuracy may be influenced by multiple factors such as operator skill, patient body habitus, fasting status and the presence of small gallstones or biliary sludge [2, 3].
References
Sanders G, Kingsnorth AN. Gallstones. BMJ. 2007;335:295e9.
Levy AD. Noninvasive imaging approach to patients with suspected hepatobiliary disease. Tech Vasc Interv Radiol. 2001;4(3):132–40.
Ahmed M, Diggory R. The correlation between ultrasonography and histology in the search for gallstones. Ann R Coll Surg Engl. 2011;93:81–3.
Shea JA, Berlin JA, Escarce JJ, Clarke JR, Kinosian BP, Cabana MD, Tsai WW, Horangic N, Malet PF, Schwartz S, Williams SV. Revised estimates of diagnostic test sensitivity and specificity in suspected biliary tract disease. Arch Intern Med. 1994;154:2573–81.
Dibaise JK, Oleynikov D. Does gallbladder ejection fraction predict outcome after cholecystectomy for suspected chronic acalculous gallbladder dysfunction? A systematic review. Am J Gastroenterol. 2003;98(12):2605–11.
Ziessman HA. Cholecystokinin cholescintigraphy: victim of its own success? J Nucl Med. 1999;40:2038–42.
Dave RV, Pathak S, Cockbain AJ, Lodge JP, Smith AM, Chowdhury FU, Toogood GJ. Management of gallbladder dyskinesia: patient outcomes following positive 99m technetium (Tc)- labelled hepatic iminodiacetic acid (HIDA) scintigraphy with cholecystokinin (CCK) provocation and laparoscopic cholecystectomy. Clin Radiol. 2015;70:400–7.
Mathivanan M, Meddings L, Shaffer EA. Biliary dyspepsia: functional gallbladder and sphincter of oddi disorders, dyspepsia—advances in understanding and management InTech, 2013; Doi: https://doi.org/10.5772/56779. Available from: http://www.intechopen.com/books/dyspepsia-advances-in-understanding-and-management/biliary-dyspepsia-functional-gallbladder-and-sphincter-of-oddi-disorders
Laing FC, Jeffrey RB, Wing VW. Improved visualisation of choledocholithiasis by sonography. Am J Roentgenol. 1984;143:949–52.
Corazziari E. Biliary tract imaging. Curr Gastroenterol Rep. 1999;2:123–31.
Richmond BK. Optimum utilization of cholecystokinin cholescintigraphy (CCK-HIDA) in clinical practice: an evidence based review. W V Med J. 2012;108:8–11.
Richmond BK, DiBaise J, Ziessman H. Utilization of cholecystokinin cholescintigraphy in clinical practice. J Am Coll Surg. 2013;217(2):317–23.
Hopfer K, Ziessman H. Nuclear medicine hepatobiliary imaging (cholescintigraphy). Gastrointest Endosc. 2011;74(2):365–77.
DiBaise JK, Richmond BK, Ziessman HA, Everson GT, Fanelli RD, Maurer AH, Ouyang A, Shamamian P, Simons RJ, Wall LA, Weida TJ, Tulchinsky M. Cholecystokinin-cholescintigraphy in adults: consensus recommendations of an interdisciplinary panel. Clin Nucl Med. 2012;37(1):63–70.
Lambie H, Cook AM, Scarsbrook AF, Lodge JPA, Robinson PJ, Chowdhury FU. Tc99m- hepatobiliary iminodiacetic acid (HIDA) scintigraphy in clinical practice. Clin Radiol. 2011:1094–105.
Khosla R, Singh A, Miedema BW, Marshall JB. Cholecystectomy alleviates acalculous biliary pain in patients with a reduced gallbladder ejection fraction. South Med J. 1997;90(11):1087–90.
Canfield AJ, Hetz SP, Schriver JP, Servis HT, Hovenga TL, Cirangle PT, Burlingame BS. Biliary dyskinesia: a study of more than 200 patients and review of the literature. J Gastrointest Surg. 1998;2:442–8.
ROME Foundation. ROME III diagnostic criteria for functional gastrointestinal disorders. 2016. Webpage on the internet. http://www.romecriteria.org/assets/pdf/19_RomeIII_apA_885-898.pdf. Accessed 29 Nov 2016.
Yap L, Wycherley AG, Morphett AD, Toouli J. Acalculous biliary pain: cholecystectomy alleviates symptoms in patients with abnormal cholescintigraphy. Gastroenterology. 1991;101(30):786–93.
Carr JA, Walls J, Bryan LJ, Snider DL. The treatment of gallbladder dyskinesia based upon symptoms: results of a 2-year, prospective, nonrandomized, concurrent cohort study. Surg Laparosc Endosc Percutan Tech. 2009;19(3):222–6.
Fig LM, Wahl RL, Stewart RE, Shapiro B. Morphine-augmented hepatobiliary scintigraphy in the severely ill: caution is in order. Radiology. 1990;175:467–73.
Ziessman HA, Tulchinsky M, Lavely WC, Gaughan JP, Allen TW, Maru A, Parkman HP, Maurer AH. Sincalide-stimulated cholescintigraphy: a multicentre investigation to determine optimal infusion methodology and gallbladder ejection fraction normal values. J Nucl Med. 2010;51:277–81.
Holes-Lewis K, Hakim S, Rehman F, Nabi H, Uhde T. CCK-induced gallbladder hyperkinesia: an indication for cholecystectomy and brain-GI connectivity research. J Nucl Med. 2009;50(S2):1312.
Cook CH, Kisner J, Melvin WS, Olsen J, Pozderac R, Martin LC. Biliary hyperkinesia: a new indication for cholecystectomy. Soc Surg Aliment Tract. 1999; Available from http://meetings.ssat.com/abstracts/99ddw/ddw6.cgi.
Eckenrode AH, Ewing JA, Kotrady J, Hale AL, Smith DE. HIDA scan with ejection fraction is over ttilized in the management of biliary dyskinesia. Am Surg. 2015;81(7):669–73.
DuCoin C, Faber R, Ilagan M, W R, Wier D. Normokinetic biliary dyskinesia: a novel diagnosis. Surg Endosc. 2012;26(11):3088–93.
Dauer M, Lammert F. Mandatory and optional function tests for biliary disorders. Best Pract Res Clin Gastroenterol. 2009;12:441–51.
Acknowledgements
We would like to thank Dr. Lily Shen from the Department of Nuclear Medicine, Nepean Hospital, NSW, Australia for the provision of the CCK-HIDA images for inclusion in this chapter.
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Cao, A., Eslick, G.D., Cox, M.R. (2018). Biliary Pain and a Normal Ultrasound. In: Cox, M., Eslick, G., Padbury, R. (eds) The Management of Gallstone Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-63884-3_10
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