A member asked:

My hida scan was 35%. the ultrasound shows possible few very tiny gallstones. the ct scan was normal with some intermittent gb symptoms. should i get the gbremoved?

7 doctors weighed in across 3 answers

Tough Call: This is not an uncommon situation--things are not always "black & white". If i were convinced that my patient was having "gallbladder symptoms", i would lean towards recommending surgery. Other pertinent info includes: any tenderness on exam? Did the cck injection reproduce the pain? Are the liver enzymes normal? Is my patient a good candidate for elective surgery? Hope this helps.

Answered 12/9/2013

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Up to you: "a chance to operate is a chance to complicate". That is, every surgery has risks. Every test or procedure you get must be weighed against the benefit. If it doesn't bother you much, there's no harm from not getting surgery. You can always have the surgery at another time if/when it bothers you more.

Answered 7/6/2013

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Dr. Joseph Accurso answered

Specializes in Radiology

Depends: Hida ejection fraction is borderline abnormal, meaning the gb does not empty like it should to hormonal signals. However, the symptoms do not sound debilitating, and surgery has its risks, even something as common as a laproscopic cholecystectomy. No apparent evidence of cholecystitis. Discuss with your doctor and perhaps a general surgeon.

Answered 5/8/2013

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