Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
8
|
| pubmed:dateCreated |
1991-9-5
|
| pubmed:abstractText |
One hundred eighty-seven patients who presented with symptoms consistent with biliary colic but had no ultrasonic evidence of cholelithiasis were observed in an effort to identify those with a functional gallbladder disorder that might benefit from surgical intervention. All patients underwent quantitative evaluation of gallbladder emptying using cholecystokinin biliary scanning, and ejection fractions less than 35% were considered abnormal. One hundred twenty-nine patients (69%) had abnormal ejection fractions, and 88 (68%) of these subsequently underwent cholecystectomy. Sixty of the surgical specimens revealed pathologic changes. Eighty-four percent of patients successfully contacted for follow-up experienced complete relief, and another 13% had partial relief of preoperative symptoms. Only two patients reported no change in symptom complex. Twenty-nine patients with abnormal ejection fractions elected not to undergo surgery. Fifty-nine percent of these patients continued to experience symptoms of biliary colic at a mean follow-up of 22 months. Of the 44 patients with normal ejection fractions, 35 (80%) reported resolution of symptoms during follow-up of medical treatment. Cholecystokinin biliary scanning can help identify patients with acalculous, functional gallbladder disease who may benefit from cholecystectomy.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Aug
|
| pubmed:issn |
0004-0010
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
126
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
957-60
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:1863213-Adult,
pubmed-meshheading:1863213-Biliary Dyskinesia,
pubmed-meshheading:1863213-Cholecystectomy,
pubmed-meshheading:1863213-Cholecystitis,
pubmed-meshheading:1863213-Cholecystokinin,
pubmed-meshheading:1863213-Cholelithiasis,
pubmed-meshheading:1863213-Diagnosis, Differential,
pubmed-meshheading:1863213-Female,
pubmed-meshheading:1863213-Follow-Up Studies,
pubmed-meshheading:1863213-Gallbladder,
pubmed-meshheading:1863213-Gallbladder Diseases,
pubmed-meshheading:1863213-Humans,
pubmed-meshheading:1863213-Imino Acids,
pubmed-meshheading:1863213-Male,
pubmed-meshheading:1863213-Middle Aged,
pubmed-meshheading:1863213-Organotechnetium Compounds,
pubmed-meshheading:1863213-Prospective Studies,
pubmed-meshheading:1863213-Technetium Tc 99m Disofenin
|
| pubmed:year |
1991
|
| pubmed:articleTitle |
Results of surgical therapy for biliary dyskinesia.
|
| pubmed:affiliation |
Department of Surgery, William Beaumont Hospital, Royal Oak, Mich. 48073.
|
| pubmed:publicationType |
Journal Article
|