Doctor insights on:
Gall Bladder Ejection Fraction
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
The bladder is a muscular organ in the pelvis that accepts urine from the kidneys, stores the urine at low pressure, & expels the urine during voluntary voiding. Though seemingly a simple reservoir, the bladder is a complex organ intricately connected with the brain and spinal cord with sensory, motor, and autonomic circuits. The muscular layer that contracts during voids ...Read more
Gallbladder ejection fraction rate of 14.8, then 33.3, then 33.3 then 68.7 during the same test? Referred to surgeon. Can gallbladder be removed?
What can you tell me about hyperactive gallbladder ? Ejection fraction 90% last year, and 94% this year. Should it be removed if symptoms persist?
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
Could having a lap band interfere with gallbladder ejection fraction when given pipida scan with ensure?
Gallbladder ejection fraction 15% but ultra sound shows no stones. Am i more susceptible to stones since not functioning?
Increased risk: Low gallbladder ejection fraction is found in chronic cholecystitis, which can cause chronic right upper quadrant pain and nausea. The poor gallbladder emptying leads to stasis of bile and other components that make up gallstones, leading to an increased likelihood of stone formation. ...Read moreSee 1 more doctor answer
Doctor ordered a HIDA scan without ejection fraction. What's the point if I won't see gallbladder ejection fraction?
Rule out Acute Chole: The doctor ordered it to make sure your cystic duct is open and you do not have an Acute Cholecystitis, a common bile duct or small bowel obstruction. You stated that you have Gilbert's disease. Thus the doctor may also want to see if you have acute hepatocellular disease. The Ejection fraction will tell him if you do or do not have chronic cholecystitis. ...Read moreSee 1 more doctor answer
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?
Can 19% gallbladder ejection fraction lead to elevated levels of amylase/lipase? No stones/sludge found; problem started while pregnant but persists.
What does early homogeneous uptake of isotope within liver on a hida scan.. Is this ok? Also saod depressed gallbladder ejection fraction 10%
Normal: A hida scan is a gallbladder function test. The first medication is able to be followed as it goes through. The first thing seen is uptake by the liver. The liver takes the isotope out of the blood and dumps it in the bile. Once we see it in the gallbladder and bowel a 2nd med is given to tell the gb to work. The 10% is a decreased function of your gall bladder. Should be 50% +. See surgeon. ...Read moreSee 2 more doctor answers
Hida scan says gall bladder ejection rate 0%. Will my gall bladder burst if i don't get surgery right away?
No: First, I do not know if you have gallstones by ultrasound or not. Hida scan apparently shows the gallbladder fills, but does not empty, so the gallbladder is not obstructed. This indicates there is no urgent problem with your gallbladder. Optional & elective to have surgery, and only if you are having appropriate symptoms related to the gallbladder. ...Read moreSee 1 more doctor answer
I have mild pain and several small stones in my gall bladder, with a hida scan ejection rate of 71%. Do i still need to have my gallbladder removed?
No-2 Diff. Diseases: "sludge" is a common finding in the gb during pregnancy, rapid wt loss, or fasting; it usually has no clinical consequence, although some people clearly progress to gallstone formation. "biliary dyskinesia" is a condition where the gallbladder does not empty well, leading to pain that simulates a gb attack; this is diagnosed by a cck-hida scan. Most people w/biliary dyskinesia do not have sludge. ...Read moreSee 1 more doctor answer
I'm constantly nauseated when i eat! is it because my gallbladder is only functioning 15%? Had hida scan which showed ejection fraction of 15%
I'm a 31 year old male, had a HIDA scan on my gallbladder, my ejection fraction results were 13.7%.
What am I looking at in terms of treatment?
HIDA scan EF>35%: Most radiologists state a normal gallbladder ejection fraction (ef) on a hida scan as 35% or above. A low ejection fraction can be due to gallbladder dyskinesia, chronic cholecystitis (infection), and rarely cancer. A good answer for 'hida scan results' =http://www.Mayoclinic.Com/health/hida-scan/my00320/dsection & from the an original journal article =radiology.Rsna.Org/content/226/2/593.1.Full. ...Read moreSee 2 more doctor answers
Is the ejection fraction painful during hida? I have a gallbladder sludge, and a nuclear med scan tomorrow.
CCK: To determine a gallbladder ejection fraction, a medication called cck is administered iv. Your body normally has its own cck which makes the gallbladder contract. The exogenous cck may simulate any symptoms which you feel when you normally eat a fatty meal. If you get cramping, nausea, etc.....You may experience this with cck. Symptoms are often more pronounced with rapid speed of injection. ...Read moreSee 5 more doctor answers
What happens to bile stored by the gallbladder when the gallbladder has been proven to have an ejection fraction of 1%?
Gallbladder: The gallbladder does store extra bile. Bile is usually squeezed from the gallbladder into the bile duct when one eats. An ejection fraction study is one estimate at one time showing how the gallbladder empties at that one time. Bile will still likely escape from the gallbladder when one eats, even with a very low ejection fraction. It just empties slower. ...Read moreSee 1 more doctor answer
Will a hida scan show if gallbladder is acute vs chronic. My ejection fraction 7% . Pain even when not eating .Some nausea. Vomited x1?
It does : In acute chokecystitis, the hida scan will typically show obstruction of the cystic duct (the duct to the gallbladder) this results in a nonviualized gallbladder. In chronic cholecystitis the gallbladder can be seen, meaning the duct is open. A stimulant is then given and the ability of the gallbladder to empty is measured. 50-75% ejection is normal. Less than 25% is considered dysfunctional. ...Read moreSee 2 more doctor answers
What does ejection fraction means? I'm having a hida scan tomorrow because i'v been diagnosed w/a gallbladder sludge
Ejection fraction is: A measure of how effectively the gallbladder releases bile when it contracts. During a hida scan, the gallbladder accumulates the radioactive substance. Another medication is then given (cck) which stimulates the gallbladder to contract. A special camera measures how well the gallbladder empties. This is reported as a percentage. If abnormal, this may be a source of pain without gallstones. ...Read moreSee 3 more doctor answers
My temp is 99.8 and it flucuates all day. By evening it is fine. My gallbladder is 9% ejection fraction. No stones. Could this be from gallbladder?
Yes, it can: But other causes are more likely. Usually, gallbladder problems cause fever when it progresses to acute cholecystitis. Depending on how long you have had the fluctuating low grade fever, ask your doctor if he can find other causes of it, such as infection, inflammation, or even malignancy. ...Read more
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
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