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Doctor insights on: Hida Scan With Cck Results

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Norman HIDA scan results but pain during CCK injection made my already pain ten times worse what does this mean?

Norman HIDA scan results but pain during CCK injection made my already pain ten times worse what does this mean?

Biliary colic: Recreation of symptoms following CCK provocation is superior to EF for the identification of underlying chronic cholecystitis. Indeed, a normal gallbladder ejection fraction does not necessarily rule out a biliary etiology of symptoms. ...Read more

Dr. Joseph Accurso
315 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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When given cck during hida scan got very sick with some cramps.Results were 30percent function of gb. My gb us was normal.Should I have gb taken out?

When given cck during hida scan got very sick with some cramps.Results were 30percent function of gb. My gb us was normal.Should I have gb taken out?

Probably: Gallbladder with tc99m hida demonstrates extraction from blood stream of radiopharmaeujtical, then excretion into bowel with some storage in gb. Cck, cholecystokinin, stimulates gb to contract. Normal ejection fraction is usually above 35%.Getting symptoms from injection of cck and low ef of 30% suggests gall bladder needs to be removed. Us of gb can be normal without stones when gb has dyskinesia. ...Read more

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Daughter (teen) had hida scan and cried during cck section of test with pain. Does pain always mean gallbladder disease? (no results for few days)

Daughter (teen) had hida scan and cried during cck section of test with pain.  Does pain always mean gallbladder disease? (no results for few days)

HIDA scan: Cck during a hida scan (used to test for gallbladder dysfunction) simulates the eating of a fatty meal. If you have pain or nausea (re-creation of symptoms) during this portion, that is a good indication of dysfunction. The other thing to check is the gbef (gallbladder ejection fraction). Any number under 35% is usually considered abnormal. If pain with cck, too - even better evidence. ...Read more

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Doc ordered a HIDA scan. Just talked to radiology and they said I will drink Ensure instead of CCK. Is this normal and will this give accurate result?

Doc ordered a HIDA scan. Just talked to radiology and they said I will drink Ensure instead of CCK. Is this normal and will this give accurate result?

Ensure vs CCK: A HIDA scan is used to assess biliary function, including uptake of a radiopharmaceutical by the liver, excretion into the bile ducts and gallbladder, and finally gallbladder "ejection fraction," or how well the gallbladder contracts. To cause gallbladder contraction, CCK can be injected intravenously, or the patient can be given 8 oz of Ensure to drink over a short period of time. Each works well ...Read more

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I had 0%EF on hida scan. when I got the CCK I only felt tightness in my stomach & slight nausea w/ sweating. Could my results be False/Positive?

I had 0%EF on hida scan. when I got the CCK  I only felt tightness in my stomach  & slight nausea w/ sweating.  Could my results be False/Positive?

There are various: potential causes of a false positive abnormal EF, including diabetes, illnesses such as acute viral syndromes, metabolic disturbances, certain drugs, and others. Impossible to say in your case without additional clinical details. Talk to your doc about the results. ...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 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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I had a hida scan done today, didn't feel any pain with the cck injection. Does that mean my gallbladder is probably fine?

No: You need to find out what the complete report says. There is more involved in a hida scan than cck injection. Need ejection fraction, uptake time, presence or absence of bowel uptake etc. ...Read more

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My hida scan had a 1st ejection rate of 12% with 1.2mcg of cck, then they ran it again at 2.4mcg and the 2nd was 46%. Which is the correct reading?

Depends on weight: Underdosed on first exam 1.2 mcg of CCK administered for 60 kg patient ( about 132 lbs), second dose for 120 kg (264 lb patient. Normal dose is .02 mcg/kg. Should be admnistered very slowly intravenously. ...Read more

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My hida scan had a first ejection rate of 12% then they doubled the cck dose and ran it again and the second was 46%. Which is the "correct" reading?

What is the Correct?: Odd exam. There is a shortage of cck, did they use a lower then normal dose the first time. The gb ef is not normally dose dependent if used appropriately. I believe that the 45% gbef is probably the correct measure. ...Read more

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Had CCK HIDA scan today, diarreah and hour after test was done. Pain is worse since test. Any connection ?

Had CCK HIDA scan today, diarreah and hour after test was done. Pain is worse since test. Any connection ?

Maybe: The stimulation of your gallbladder at the time of the sacn should be over but it is possible you are still experiencing the effects of the test one hour after and IF YOU "PASSED" a STONE at the time of the exam pain may be worse now!! Soud like you should check in with the person who ordered the scan and convey these symptoms to them
Hope this helps!@
Dr Z ...Read more

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Is there any study that shows using Half & Half in a HIDA scan is as accurate as CCK? My ejection fraction was 31%

Yes.: Here is the link for that study:

http://jnm.snmjournals.org/content/43/12/1603.full

It shows that there is wide variability in the ejection fraction measured when half and half, instead of CCK, is used in a HIDA scan. However, the study concludes that both methods are acceptable. Hope that helps! ...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?

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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Can the injection off CCK during a HIDA scan be fatal or have any adverse effects on the body? Thanks!

Almost certainly not: Since CCK is a substance your own body makes it is pretty benign, especially given in a one-time dose. It may give you a feeling of bloating for a few hours as it delays stomach emptying, but there are very few other effects from it that you will feel. I have never heard of any fatalities ...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 had a normal ultrasound for my gallbladder and a HIDA scan that shows a 93 percent. But the pain is getting worse and the CCK caused symptoms.

I had a normal ultrasound for my gallbladder and a HIDA scan that shows a 93 percent. But the pain is getting worse and the CCK caused symptoms.

Uncertain: Pain without gallstones and a normal gallbladder ejection fraction is not a great idea to be thinking about getting your gallbladder out. Would see your doctor and make sure you are not having issues related to your stomach (like gastritis/reflux), your liver (like hepatitis), or your pancreas. ...Read more

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If the body doesn't produce cholecystokinin (for some reason), wouldn't the ejection fraction part of a hida scan produce a false negative?

If the body doesn't produce cholecystokinin (for some reason), wouldn't the ejection fraction part of a hida scan produce a false negative?

CCK is injected: For a hida scan the cck is given by IV injection: sincalide (cck) pretreatment is a c-terminal octapeptide of cholecystokinin (cck), in doses of 0.01–0.02 μg/kg, may be given intravenously, 30–60 min prior to the hepatobiliary tracer injection to minimize the
potential for a false-positive study (reference: http://interactive.Snm.Org/docs/pg_ch11_0703.Pdf ) see guideline for more information.
-. ...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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Hida scan shows 17% function @ 20 min. No pain during exam 4.3 m of technetium 99m of choletec. 1.5mcg of cck. Bilirubin is 1.5 enzymes good.

Not sure of results: Most laboratories determine ejection fraction, percentage of emptying at 30 or 60 minutes after injection of cck. I am not sure meaning of ejection fraction at 20 minutes. ...Read more

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Your hida scan is abnormal, with a low ejection fraction and reproduction of symptoms with the cck injection. What does this mean in layman's terms?

Gallbladder not work: That mean your gallbladder is not working as good as it suppose to be
if you have symptoms of gallbladder colic consider medical treatment first if it did not work based on your symptoms make sure you do not have other upper digestive problems like ulcer or reflux or irritable bowel syndrome
your last solution should be surgery do not jump to surgery too fast your doctor will advise you. ...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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Ultrasound showed sludge in gallbladder. Hida scan was 78% ejaction with positive cck. RUQ pain for 5 years. Do you think surgery is required?

Ultrasound showed sludge in gallbladder. Hida scan was 78% ejaction with positive cck. RUQ pain for 5 years. Do you think surgery is required?

Never required: Surgery is not required for this. Your doc should be able to give you some statistics on how likely he is to fix your problem with surgery. Might be about 50/50 chances although he will know your case better and more specifically. ...Read more

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During hida scan gallbladder did not release to the small intestine within 1 hour. After cck was given it released. Does it mean liver problems?

During hida scan gallbladder did not release to the small intestine within 1 hour.  After cck was given it released. Does it mean liver problems?

Not usually liver: If hida was excreted normally by liver and gall bladder visualized at normal time the liver is normal. Sometimes gall bladder dyskinesia can affect gall bladder emptying. The more important finding is the amount of activity excreted after cck (gb ejection fraction, normal usually above 35%) and symptoms encountered during this phase of study. ...Read more

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Had hida scan today. Pain after cck injection but not bad now 5hrs later. Extreme nausea now and worsening, sweating. Why is the nausea worsening?

Had hida scan today. Pain after cck injection but not bad now 5hrs later. Extreme nausea now and worsening, sweating. Why is the nausea worsening?

Annoying but normal: Cck often causes nausea and abdominal cramps. This usually resolves within at most an hour or two. I would check with your doctor if you do not feel better by the next day. ...Read more