Biliary dyskinesia : The medical term for the gallbladder not functioning right is biliary dyskenesia. Instead of squeezing out bile to help digest food, the gallbladder spasms. The test is called a hida scan and if you gallbladder ef is less than 35% them most surgeons would recommend to have your gallbladder removed. On most cases your symptoms will improve or resolve. Sphincter of odie dysfunction is much less common therefore ERCP sphincterotomy is rarely needed or done. It is normally reserved for the rare patient that does not improve after cholecystectomy.
Answered 6/10/2014
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Proceed w lap gb: As i've said many times, the gb is not a vital organ. If you're having symptoms from a poorly emptying gb, the best treatment is removal via outpatient laparoscopic surgery. In the meantime, eat a low fat diet. After gb removed, you have no further dietary restrictions. I know of no "fix" for the sphincter of oddi, which is the endpoint of the common bile duct. Good luck.
Answered 3/22/2014
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