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San Antonio, TX
A 24-year-old female asked:

hida scan showed gallbladder ejection fraction 33.4%. no stones but have constant pain x 2weeks and unable to eat. what is the likelihood of surgery?

2 doctor answers5 doctors weighed in
Dr. Philip Woodworth
General Surgery 25 years experience
Pretty Good: Biliary dyskinesia is the most likely cause of your problem. See a surgeon to review all of your findings.
Dr. Gerald Mandell
Nuclear Medicine 52 years experience
Biliary dyskinesia can be related to gall bladder or sphincter of Oddi. The sphincter of Oddi is a sphincter muscle which controls the flow of pancreatic juices and bile into the second part of the duodenum.Gallbladder dyskinesia presents with typical biliary pain in the absence of gallstones.An ejection fraction of less than 40% is considered abnormal, and patients should be referred for cholecystectomy. Symptom relief after the procedure has been seen in 94% to 98% of patients.
Jan 16, 2013
Dr. Loki Skylizard
Thoracic Surgery 20 years experience
Recommended: General consensus is ejection fraction less then 35-40% is abnormal. Your description is consistent with biliary dyskinesia. The recommended treatment is gallbladder removal (cholecystectomy). You should discuss this with your family physician, get referral to skilled surgeon for consultation. These links may help you: http://goo.Gl/kyzsm and http://goo.Gl/y7dxv.

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Last updated Jan 20, 2017
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