Is it recommended to have gallbladder out if hida scan says your function is 30 percent and gb ultrasound says you don't have gallstones?

Symptoms: Adult normal values for gb ejection fraction is 28 to 35%. Abdominal symptoms that correlate with gall bladder abnormality have to be considered to necessitate surgery for relief of patient's symptoms. The lack of gallstones could mean gall bladder dyskinesia where gb is not emptying normally. Diet avoiding fatty foods, meat, fried foods, eggs, chocolate and alcohol can alleviate symptoms.

If you have symptoms: Biliary dyskinesia can cause typical gallbladder symptoms. If one has RUQ pain or bloating after meals or nausea or fatty food intolerance or any combination, and their gb function is less than 35%, then laparoscopic gb removal would be appropriate. You could delay intervention, if desired, by eating a low fat diet. About 10% of my patients don't have gallstones. Good luck.

No: Normal gb ef is greater than 30%. If that is normal and ultrasound is normal, than other causes should be entertained. A ct or mr may show sludge within the gb, not seen on ultrasound.