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Doctor insights on: Gallbladder Ejection

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Can biliary hyperkinesia damage gallbladder, pancreas, liver, or biliary tree? My ultrasound was normal, but ejection fraction=91%.

Can biliary hyperkinesia damage gallbladder, pancreas, liver, or biliary tree?  My ultrasound was normal, but ejection fraction=91%.

Yes, biliary: Dyskinesia can cause damage, and it can also be a result of pathology in pancreas, liver or biliary tree. Byt 91% ejection is normal. Consult with a surgeon or GI specialist for specific recommendation. ...Read more

Dr. Dariush Saghafi
1 doctor shared a insight

Gallbladder (Definition)

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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Gall stone in gall bladder?

Gall stone in gall bladder?

Right upper abd pain: Gallstones can cause no symptoms or pain in the upper abd especially when eating fatty food. Go to your doc for referral for ultrasound. If you have symptomatic gallstones you may need to see a surgeon for gall bladder removal. Untreated, it can cause a more serious infection. ...Read more

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Ejection fraction is what?

Ejection fraction is what?

% bile ejected by GB: Normal gallbladders have an ejection fraction of over 50%. Intermediate range is 35-50%. Less than 35% is considered abnormal. Key finding in gallbladder dyskinesia is the association of symptoms with the administration of cck during the hida scan. ...Read more

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Is 42% low ejection rate for gall bladder?

Is 42% low ejection rate for gall bladder?

Not really: The 'low' cut off varies at each testing place, but, usually a low fraction is below 25-30%. Some places it's as low as 15%. ...Read more

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Gall bladder stone and heart problems?

Gall bladder stone and heart problems?

Hurt in similar area: Many patients who had gall stone pain (biliary colic) hurt in their upper central abdomen and between their shoulders. Many of my patients went to er thinking they suffered a heart attack only to be told they need gall bladder surgery. The lesson here is that you don't wait till you are absolutely sure about a heart attack or biliary colic - if in doubt, get checked asap. ...Read more

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Gall bladder stone 16mm operation ?

Gall bladder stone 16mm operation ?

Gallstone: Just the presence of a gallstone on a study in and of itself is not an indication for surgery. Symptoms of recurrent upper abdominal discomfort with gas bloating & nausea after eating, painful yellow jaundice, recurrent vomiting after eating, abnormal liver blood tests; each can be an indication for surgery. Discuss and review your symptoms with your doctor. ...Read more

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11yo with hida scan gallbladder ef 0.0% normal initial biliary scan no detectable gallbladder ef reproduced pain with cck what s this mean my child?

11yo with hida scan gallbladder ef 0.0% normal initial biliary scan no  detectable gallbladder ef reproduced  pain with cck what s this mean my child?

Gall bladder disease: Cck is natural hormone that stimulates gall bladder to contract. If ultrasound exam shows no calculi or gall bladder thickening, this uusally means gall bladder dyskinesia. Gall bladder does not contract normally causing pain and the ejection fraction is low. The cck should have been injected in a slow intravenous dose at time of study. Treatment usually involves consulting pediatric surgeion. ...Read more

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Does gallbladder sludge means gallbladder walls are thick?

Nope: The gallbladder is a small hollow organ that holds bile. This helps us digest fat. When you look at the gallbladder with an ultrasound the bile can appear like sludge which probably just describes the consistency of the bile. Thickening of the gallbladder wall can be seen on the ultrasound as well and usually is a result of inflammation. These are two different findings. ...Read more

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Will a nuclear hida scan show pancreatic stones or bile duct stones?

Will a nuclear hida scan show pancreatic stones or bile duct stones?

No: Hida scan is a functional exam to reveal if the bile duct is blocked by a stone or tumor. If blockage is suspected by the results, an MRI of the bile ducts (mrcp) is frequently the next step to visualize the blockage. ...Read more

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During a hida scan, what is a normal gallbladder ejection fraction?

>35 %: A normal gallbladder ejection fraction is usually over 35%. Anything less than this would be considered dysfunction of the gallbladder or biliary dyskinesia. ...Read more

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Gallbladder ejection fraction rate 14%, what does this mean?

Gallbladder ejection fraction rate 14%, what does this mean?

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 more

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What is a normal ejection fraction for gallbladder?

What is a normal ejection fraction for gallbladder?

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 more

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Doctor ordered a HIDA scan without ejection fraction. What's the point if I won't see gallbladder ejection fraction?

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 more

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Is 65% ejection fraction good?

Is 65% ejection fraction good?

Yes: Over 60% is normal. But ejection fraction is just one part of the heart measurements on an echo. There are many other things to consider. Your doctor can go over that with you. ...Read more

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Will the ejection fraction be low because of a sludge gallbladder?

Will the ejection fraction be low because of a sludge gallbladder?

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 more

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Dr. James Dukelow
5 doctors shared insights

Gall Bladder (Definition)

Sac like organ that serves to store bile, a digestive detergent which is made in the liver. Typically contracts after eating and sends the stored bile down ducts to ...Read more