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Doctor insights on: Hida Scan With Cck

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Will getting a HIDA scan without CCK still measure the complete function of my gallbladder? What's the difference?

Will getting a HIDA scan without CCK still measure the complete function of my gallbladder? What's the difference?

Need gb challenge: CCK availability has been scarce recently. Certain fatty meals have been compared to CCK and validated in literature.You do need a challenge; I use Boost kids essential formula as a fatty meal substitute in my pediatric patientsi There probably is adult substitute. This allows evauation of contraction of gall bladder which helps diagnose dyskinesia and chronic gall bladder disease ...Read more

Dr. Joseph Accurso
296 doctors shared insights

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


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Why did they stop the HIDA scan (without CCK) before testing the ejection fraction? Can't that be a problem of its own?

Why did they stop the HIDA scan (without CCK) before testing the ejection fraction? Can't that be a problem of its own?

Yes: Did they have CCk? It is not generally available. Have to substitute standardized fatty meal. Otherwise results are equivocal. Sometimes clinicians will not use CCK if suspect acute obstruction of biliary system or if no activity is in gall bladder. Should ask institiution performing the test for explanation. CCK or fatty meal substitute gives indication of gall bladder function. ...Read more

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I have to have a HIDA scan with CCK and can't take my meds. Would weed affect the test? I don't smoke but I am afraid of the pain and nausea w/o meds.

Probably not, but…: The whole point of the test is to measure how well your gallbladder works when you are not on any medications or other substances. Because you don't know the effects of marihuana on your gallbladder, I would try to avoid this before the test so that you don't mess up the results of the HIDA scan. If you don't smoke marijuana now, this would not be a good time to start. Good luck. ...Read more

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I had a HIDA scan without CCK and it came back normal, but I am having severe gallbladder pain. Would the CCK have detected something else?

I had a HIDA scan without CCK and it came back normal, but I am having severe gallbladder pain. Would the CCK have detected something else?

Maybe: HIDA without CCK looks for bile duct or for gallbladder blockage. Do you have gallstones on ultrasound? If you do have gallstones, then CCK testing may not be needed. Testing with CCK is used to identify how well the gallbladder is emptying. The CCK injection can be replaced by the radiologist having you drink fatty high calorie drink instead (like Ensure). ...Read more

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I'm getting a HIDA scan w/ CCK on Tuesday. What are the rules of physical contact with my 3 month old and 3 yr old afterwards? Since it's radioactive?

Reduced contact: A HIDA scan uses technetium-99 which has a half life of 6 hours. There are a few precautions that you should take if you are breast feeding your 3 month-old. Since you will want to pump and dump your breast milk for 24 hours after, you will want to store a days supply of milk ahead of time. You will also need to reduce your contact with both kids for 1 day, so no co-sleeping us using a sling. ...Read more

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I had a hida scan with cck on the 27th. How long should I pump and dump my breast milk before returning to exclusive breastfeeding?

2 days is plenty: Switching you baby to formula for 2 days after the hida is plenty. Your body excretes the tracer faster than its actual half-life. After 2 days, you can resume exclusive breastfeeding safely. ...Read more

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Had a hida scan w cck today and had a lot of stomach pain/bloating/tightness and nausea. Does this mean a problem w my gallbladder?

Had a hida scan w cck today and had a lot of stomach pain/bloating/tightness and nausea. Does this mean a problem w my gallbladder?

Not necessarily: Need to wait to find out the results of the gallbladder function. It is normal to feel gas discomfort or cramping with the cck injection, especially if the injection is done quickly. ...Read more

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Hida scan cck showed sluggish movement, 20 ejection , end of bile duct narrowed. Having mrsd, meanwhile put on creon . Why ? .

Hida scan cck showed sluggish movement, 20 ejection , end of bile duct narrowed. Having mrsd, meanwhile put on creon .  Why ?
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Bile duct stenosis: Narrowing of bile duct is usually detected by endoscopy (direct visualization) or mrcp (magetic resonance cholangiopancreatography). Mrcp also evaluates pancreas. Ductal narrowing can be caused by dyskinesia / spasticity, inflammation, or external pressure from tumor. Gall bladder ejection fraction of 20% usually refers to gall bladder disease or dyskinesia. Creon helps digestion with enzymes. ...Read more

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