Doctor insights on:
Gallbladder Pipida Scan
Several reasons: Pipida or hida scan is nuclear medicine test for gall bladder function. Gb does not visualize when gb has acute cholecystitis and patient acutely ill. Also patients with chronic gall bladder duct obstruction will not have gb visualization. Sometimes gb will not be seen well in extreme prolonged fasting, wit certain pain meds and when patient fed by tpn, total intravenous nourishment. ...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
Obstruction...: If tracer is not visualized in the gallbladder during the appropriate scanning period, this means there is cystic duct obstruction which is seen with acute cholecystitis. False positives can occur if you ate within a few hours before scan or if you have fasted for more than 24 hours before scan. ...Read moreSee 1 more doctor answer
What would cause pipida scan to say my gallbladder is functioning at 0% when I am only in mild discomfort? How does all of that work?
Biliary dyskinesia : The medical term for the gallbladder not functioning right is biliary dyskenesia. Instead of squeezing out bile to help digest food, the gallbladder spasms. The test is called a hida scan and if you gallbladder ef is less than 35% them most surgeons would recommend to have your gallbladder removed. This can be caused by chronic inflammation other not well understood causes. ...Read more
Could having a lap band interfere with gallbladder ejection fraction when given pipida scan with ensure?
Normal ultrasound, egd and pipida scan on gallbladder. Referred to surgeon. Will dr. remove gallbladder if tests are normal but symptoms persist?
Gall bladder symptom: An experienced surgeon MAY remove your gall bladder if your symptoms are clearly related to fatty food intake. If your symptoms do not match the presentation of cholecystitis, the surgeon may want further evaluation of your intestines via colonoscopy or barium enema to make sure it is not diverticulitis. This is clearly up to the surgeon doing the procedure to decide this. ...Read moreSee 2 more doctor answers
Depends: Depends if symptoms related to biliary colic. Other alternatives are diet avoiding fatty foods that can cause gall bladder attacks. 15% is low ejection fraction for gall bladder and usually means chronic gall bladder disease or dyskinesia. Should consult your physician for educated decision. ...Read moreSee 3 more doctor answers
No.: There are typically 2 ways to use the results of a hida scan. If the gallbladder doesn't appear, then that is consistent with disease (called cholecystitis). If the functioning of the gallbladder is poor with a ejection fraction less than 30%, it is called dyskinesia and may be a cause for problems. ...Read moreSee 2 more doctor answers
Yes for acute: The accuracy of cholescintigraphy (nuclear scan) for diagnosis of acute calculous cholecystitis has been greater than 95%, and the accuracy for acute acalculous cholecystitis is only slightly less. A normal scan with gallbladder visualization almost always excludes a diagnosis of acute cholecystitis. ...Read moreSee 1 more doctor answer
Borderline: That means that after they stimulated your gallbladder, it ejected 29% of the radioactive tracer. Typically if it is less than 30-35% (depending on the lab), it indicates some type of gallbladder dysfunction as the etiology of a person's pain that may be helped by surgical intervention. However, since you are on the borderline, your physician will make a decision based on your clinical condition. ...Read moreSee 5 more doctor answers
Never there: The gallbladder does not form in about 50 out of 100000 people, so maybe you don't have one to start with. The gallbladder can also be small and contracted and could be missed on testing. Next step depends on whether you are having symptoms. No symptoms? Do nothing, If having pain or fatty food intolerance, see a surgeon for laparoscopy or other testing. ...Read moreSee 1 more doctor answer
Not usually. : The hida scan is a nuclear medicine test that measures the uptake of some radiolabeled IV medicine. It is not commonly associated with causing pain. If your pain is worse then perhaps whatever the test was ordered for is getting worse. Do you know what the results of the test were? ...Read moreSee 2 more doctor answers
RUQ pain: Yes you may very well still need a Gall Bladder removal. If your HIDA was done with CCK (Cholestokinin) it could help in that decision if your pain is reproduced. If CCK is negative you may need a CT scan of your Abdomen. I would recommend a consult with liver function test results as well ...Read more
Probably nothing: Over the course of a routine hida scan, the gallbladder accumulates the radiotracer, so it is actually normal to see the gallbladder at the end of the scan. Even if you were given cck to cause the gallbladder to contract (this is how the ejection fraction is calculated) the gallbladder usually does not empty completely and will still be visible but probably a bit smaller. ...Read moreSee 2 more doctor answers
Not necessarily: There are different types of "reaction". Although very rare, it is possible to have an allergic reaction to one of the medicines used during the study..This reaction would have nothing to do with the gallbladder. If a medication is given in attempt to cause your gallbladder to squeeze down...And it is given to fast..It can cause spasm/pain...(as a normal reaction). So..No. ...Read moreSee 2 more doctor answers
Scans show my gallbladder is only functioning at 19%. How long can I wait before immediate surgery is required?
Chances of this : Condition progressing to acute cholecystitis is small, but not zero. If you are having symptoms of gallbladder problem, such as post prandial pain, best solution is elective surgical cholecystectomy, before any emergency intervenes. Consult with your surgeon regarding optimal timing. ...Read moreSee 1 more doctor answer
Yearly gallbladder scan for 4 mm polyp since 2009 no changes tomorrow due for yearly how likely to suddenly change ?
Hida scan came back 62% was only 37% 10 yrs ago so what else could be causing all my attacks if the gallbladder is functioning?
Iv had my gallbladder removed but still get pain like i did when it was still there. No scans are confirming what's causing it. Please help?
See GI Doctor: Postcholecystectomy syndrome is the persistence or return of RUQ abd pain following gallbladder removal. This is due to non-biliary causes (irritable bowel, ulcer dz, gerd, etc), organic biliary dz (common duct stones/stricture/cancer), or functional biliary disease (sphincter of oddi dysfunction). I advise GI work up to include labs, ultrasound+/-ercp, depending on above results. ...Read more
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