Rio Rico, AZ
A 29-year-old male asked:

I got a hida scan of my gallbladder done which reported anef of 12%. the abd ultrasound reported no gallstones. is the chronic burping and pressure (poking) under my right rib cage caused by the ef?

3 doctor answers9 doctors weighed in
Dr. Barry Rosen
General Surgery 36 years experience
It May Be: A small subset of people have gallbladder dysfunction in the absence of gallstones, called chronic acalculous cholecystitis. The symptoms are identical to those caused by stones--biliary colic. The diagnosis is established by a reduced gallbladder ejection fraction, as measured by a cck-hida scan. However, this test has a 25% false-positive rate, meaning we cannot rely on this test alone.
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Dr. Tracy Berg
Dr. Tracy Berg commented
General Surgery 34 years experience
I agree with Dr. Rosen. Also okay to get a surgical consult and discuss your case, your risk/benefit analysis.
Jun 18, 2013
Dr. Raymond Taillefer
Nuclear Medicine 44 years experience
Probably yes: A normal gallbladder ejection fraction on a hida scan should be more than 40%. At 12%, this means that you have a dyskinesia of your gallbladder which can give the type of symptoms you are reporting. You should consult your doctor and discuss the possibility of surgically removing your gallbladder, even if there are no gallstones, especially if all other tests are normal. Good luck.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Michael Sawyer
General Surgery 38 years experience
Dyskinesia: You describe gallbladder disease symptoms. Gallstones are the most common cause but a gallbladder that doesn't empty properly when stimulated can cause identical symptoms. Low ejection fraction is diagnostic of dyskinesia. The only additional information that would have clinched the diagnosis is if cck injection at the time of the study reproduced symptoms. Cholecystectomy should help.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Aug 25, 2023


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