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Doctor insights on: Hida Scan Gallbladder Ejection Fraction

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Dr. Philip Woodworth
Board Certified, General Surgery
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Dr. Cindy Juster
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Dr. Joseph Accurso
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Hida Scan (Definition)

Patient is injected intravenously with isotope tagged to chemical hida that is extracted preferentially by liver cells mimicking bile. Some of this is stored in gall bladder and some enters small bowel from common bile duct. Cholecystokinin is a natural hormone slowly injected intravenously to stimulate gall bladder contraction. Normal function has at least 50% ...Read more


Dr. Mark Dickson
Board Certified, General Surgery
17 years in practice
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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?

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?

Depends: If you are having symptoms of gallbladder disease, like upper abdominal pain or nausea, you will likely benefit from gallbladder removal. If you are not having those symptoms, you may be able to avoid operation--for now. ...Read more

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Dr. Cindy Juster
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Dr. Michael Zadeh
Board Certified, General Surgery
11 years in practice
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During a hida scan, what is a normal gallbladder ejection fraction?

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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Dr. Gerald Mandell
Board Certified, Nuclear Medicine
46 years in practice
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Hi doctors, was just wondering what is considered a high gallbladder ejection fraction during a hida scan?

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

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Dr. Cindy Juster
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Dr. Luke Bolek
Board Certified, Nuclear Medicine
11 years in practice
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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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Dr. Scott Grover
Board Certified, General Surgery
20 years in practice
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What does early homogeneous uptake of isotope within liver on a hida scan.. Is this ok? Also saod depressed gallbladder ejection fraction 10%

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 more

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Dr. Gerald Mandell
Board Certified, Nuclear Medicine
46 years in practice
4M people helped
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What does ejection fraction means? I'm having a hida scan tomorrow because i'v been diagnosed w/a gallbladder sludge

What does ejection fraction means? I'm having a hida scan tomorrow because i'v been diagnosed w/a gallbladder sludge

Sludge: Gall bladder sludge is seen on ultrasound exam. The nuclear medicine nuclear scan relates how well gall bladder is functioning by how well gb contracts. Sludge in gall bladder can have either normal or abnormal study.The scan also demonstrate relative function of liver and abnormalities in common bile duct. In adults most clinicians use above 35% as normal gb ejectin value. ...Read more

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Dr. Fidias De Leon
Board Certified, Nuclear Medicine
15 years in practice
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Dr. Daniel Conway
Board Certified, General Surgery
30 years in practice
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Will a hida scan show if gallbladder is acute vs chronic. My ejection fraction 7% . Pain even when not eating .Some nausea. Vomited x1?

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 more

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Dr. Larry Grissom
Board Certified, Radiology
37 years in practice
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Gallbladder ultra sound was normal w/NO stones... HIDA scan showed ejection fraction at 10%. I have frequent attacks, what are my chances of Gangrene?

Not common : Unless you have severe pain and fever, gangrene is unlikely. Avoid fatty and greasy foods. Gallbladder contracts when stimulated by fatty foods and this is when pain occurs (after fatty or greasy meals). ejection fraction is normally over 30 %. ...Read more

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Dr. Bernard Seif
3 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


Ejection Fraction (Definition)

It is a measurement of hearts efficiency.That is the proportion of blood that is pumped from the left ventricle with each heart beat normal ejection fraction is ...Read more


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Dr. Cindy Juster
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