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01-08-2008 | SSAT Poster Presentation

Evaluation of Surgical Outcomes and Gallbladder Characteristics in Patients with Biliary Dyskinesia

Authors: M. Shirin Sabbaghian, Barrie S. Rich, Gary D. Rothberger, Jonathan Cohen, Steven Batash, Elissa Kramer, H. Leon Pachter, Stuart G. Marcus, Peter Shamamian

Published in: Journal of Gastrointestinal Surgery | Issue 8/2008

Abstract

Introduction

This study was designed to compare symptomatic outcomes following cholecystectomy in patients with biliary dyskinesia.

Materials and Methods

From 1999 to 2006 at New York University Medical Center, 197 adults underwent hepatobiliary scintigraphy with cholecystokinin administration to evaluate gallbladder ejection fraction (GBEF). Biliary dyskinesia was demonstrated in 120 patients based on decreased GBEF of ≤35%. Forty-four patients underwent cholecystectomy, and data from chart review and telephone questionnaires were available for 42 patients. Patients reported symptomatic improvement whether gallstones were present (25/27, 92.6%) or absent (13/15, 86.7%) prior to cholecystectomy (p = 0.90). The most common pathologic findings were chronic cholecystitis and cholesterolosis, regardless of the presence of gallstones. Additional data from 101 of the 120 patients with decreased GBEF demonstrated 74/101 (73.2%) patients were diagnosed with gastroesophageal reflux disease (GERD), and 59/101 (58.4%) patients were diagnosed with gastritis.

Results

The results of this study suggest that biliary dyskinesia should be considered as part of the spectrum of symptomatic gallbladder disease that can be successfully treated with cholecystectomy and that biliary dyskinesia is associated with GERD and gastritis.

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Title: Evaluation of Surgical Outcomes and Gallbladder Characteristics in Patients with Biliary Dyskinesia
Authors: M. Shirin Sabbaghian
Barrie S. Rich
Gary D. Rothberger
Jonathan Cohen
Steven Batash
Elissa Kramer
H. Leon Pachter
Stuart G. Marcus
Peter Shamamian
Publication date: 01-08-2008
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 8/2008
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-008-0546-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Evaluation of Surgical Outcomes and Gallbladder Characteristics in Patients with Biliary Dyskinesia

Abstract

Introduction

Materials and Methods

Results

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and Methods

Results

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