Use of endoscopic gallbladder stenting and biliary scintigraphy for diagnosis of gallbladder dyskinesia: a case report.
Biliary scintigraphy
Cholecystectomy
Endoscopic gallbladder stenting
Gallbladder dyskinesia
Journal
Clinical journal of gastroenterology
ISSN: 1865-7265
Titre abrégé: Clin J Gastroenterol
Pays: Japan
ID NLM: 101477246
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
received:
09
02
2023
accepted:
03
04
2023
medline:
21
7
2023
pubmed:
13
4
2023
entrez:
12
4
2023
Statut:
ppublish
Résumé
A 40-year-old woman visited our hospital with a several-year history of right hypochondriac pain and vomiting after eating. She had been treated for functional dyspepsia, with no improvement in her symptoms. No gallstones were detected on imaging tests, but papillary insufficiency or dyskinesia of the gallbladder was suspected and biliary scintigraphy was performed. Biliary scintigraphy showed delayed excretion of radionuclides from the gallbladder and bile ducts into the duodenum. We initially suspected papillary dysfunction and performed endoscopic sphincterotomy, but there was no improvement in her symptoms. Biliary scintigraphy also showed delayed excretion of radionuclides, especially stagnation of radionuclides in the gallbladder. We suspected gallbladder dyskinesia and performed endoscopic gallbladder stenting, after which her symptoms disappeared and biliary scintigraphy showed improved excretion of radionuclides into the duodenum. Endoscopic gallbladder stenting may be useful for the diagnosis of gallbladder dyskinesia and for determining the efficacy of cholecystectomy.
Identifiants
pubmed: 37043114
doi: 10.1007/s12328-023-01801-1
pii: 10.1007/s12328-023-01801-1
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
599-604Informations de copyright
© 2023. Japanese Society of Gastroenterology.
Références
Cotton PB, Elta GH, Carter CR, et al. Rome IV. Gallbladder and sphincter of Oddi disorders. Gastroenterology. 2016;1150:1420–9. https://doi.org/10.1053/j.gastro.2016.02.033 . PMID: 27144629
doi: 10.1053/j.gastro.2016.02.033
Toouli J. Biliary dyskinesia. Curr Treat Options Gastroenterol. 2002;5:285–91.
doi: 10.1007/s11938-002-0051-9
pubmed: 12095476
Greenberg JJ. What is biliary hyperkinesia? Glob Surg. 2018. https://doi.org/10.15761/GOS.1000174 .
doi: 10.15761/GOS.1000174
Harvey RF, Read AE. Effect of cholecystokinin on colonic motility and symptoms in patients with the irritable-bowel syndrome. Lancet. 1973;1:1–3.
doi: 10.1016/S0140-6736(73)91219-1
pubmed: 4118538
Fink-Bennett D, DeRidder P, Kolozsi W, et al. Cholecystokinin cholescintigraphic findings in the cystic duct syndrome. J Nucl Med. 1985;26:1123–8.
pubmed: 4045555
Ruffolo TA, Sherman S, Lehman GA, et al. Gallbladder ejection fraction and its relationship to sphincter of Oddi dysfunction. Dig Dis Sci. 1994;39:289–92.
doi: 10.1007/BF02090199
pubmed: 8313810
Bielefeldt K, Saligram S, Zickmund SL, et al. Cholecystectomy for biliary dyskinesia: how did we get there? Dig Dis Sci. 2014;59:2850–63.
doi: 10.1007/s10620-014-3342-9
pubmed: 25193389
Bar-Meir S, Halpern Z, Bardan E. Nitrate therapy in a patient with papillary dysfunction. Am J Gastroenterol. 1983;78:94–5.
pubmed: 6401920
Guelrud M, Mendoza S, Rossiter G, et al. Effect of nifedipine on sphincter of Oddi motor activity: studies in healthy volunteers and patients with biliary dyskinesia. Gastroenterology. 1988;95:1050–5.
doi: 10.1016/0016-5085(88)90182-5
pubmed: 3410219
Veenstra BR, Deal RA, Redondo RE, et al. Long-term efficacy of laparoscopic cholecystectomy for the treatment of biliary dyskinesia. Am J Surg. 2014;207:366–70 (discussion 369–70).
doi: 10.1016/j.amjsurg.2013.09.012
pubmed: 24581761