Doctor insights on:
Decreased Gallbladder Ejection Fraction
Resting HR 120-160 found in notes I also have Left ventricular ejection fraction 52% been passing out a lot should I be worried/is this the cause?
Unfortunately yes: You could be having a dangerous heart rhythm, leading to the passing out. The ejection fraction of 52% is still within the normal range; however, you are tachycardic at baseline, and the fast heart rate may overestimate your true ejection fraction as well as lead to heart damage. If you pass out again, I recommend calling 911, otherwise, see cardiologist ASAP. ...Read moreSee 2 more doctor answers
The gallbladder is a sac-like structure located under the right lobe of the liver. It is attached to the common bile duct via the cystic duct. The gallbladder can store bile when the bile is not needed, and can squeeze bile into the bile duct and intestine for digestion when a person eats larger ...Read more
Reduced gb ejection: Gallbladder ef determined as percentage emptying of gall bladder on hida nuclear medicine study with administration of cck ( cholecystokinin, hormone). In adults usually greater than 35% is normal. Low gbef can be related to gall bladder disease or dyskinesia. Usually compared to findings on ultrasound such as gall stones or wall thickening.Gbef affected by degree of fasting and pain medications. ...Read moreSee 1 more doctor answer
Usually gb disease: Decreased ejection fraction is less than 35%. May mean chronic gall bladder disease or biliary dyskinesia. If symptoms of biliary colic (gall bladder disease) may receive relief with gall bladder removal. Work up of gall bladder disease usually includes ultrasound study looking for gall stones. ...Read more
Less than 35%: By convention most adult nuclear labs use above 35% as normal values. However these values are usually in conjunction with symptoms, biliary colic, that are consistent. There are individuals who can have normal gbef that have disease. These patients have biliary dyskinesia, a motility disorder, of gb. Some believe in hyperkinetic gb ejection fraction over 75% associated with symptoms. ...Read moreSee 1 more doctor answer
What happens if my gallbladder ejection fraction is 0%. Do I have to get it out? Will i not be able to digest fat?
Not necessarily: You do not have to get your gallbladder removed. People with decreased gallbladder ejection fraction (<50%) often have symptoms related to this problem such as pain on the right side after eating, inability to tolerate fatty foods and bloating. > than 80% of people will get better after having thier gallbladder removed. Rarely people have trouble digesting fats after surgery (cramps/ diarrhea). ...Read moreSee 2 more doctor answers
Hi doctors, was just wondering what is considered a high gallbladder ejection fraction during a hida scan?
Usually normal: Hyperkinetic or hyperactive gallbladder is not generally accepted as a diagnosis. A small group of patients (63) was symptomatic with cck infusion with greater than 80% ejection fraction. 28 of these patients underwent removal of gall bladder. 97% of these 28 patients showed improvement in symptoms following surgery. . More published retrospective and prospective studies needed. ...Read more
What can you tell me about hyperactive gallbladder ? Ejection fraction 90% last year, and 94% this year. Should it be removed if symptoms persist?
Maybe: Hyperkinetic or hyperactive gallbladder is not generally accepted as a diagnosis. A small group of patients (63) was symptomatic with cck infusion with greater than 80% ejection fraction. 28 of these patients underwent removal of gall bladder. 97% of these 28 patients showed improvement in symptoms following surgery. . More published retrospective and prospective studies needed. ...Read moreSee 1 more doctor answer
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