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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
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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How can you specifically alter hida scan results?

How can you specifically alter hida scan results?

False positives: Variability in results depends on method of test, interpretative skills,patient symptoms. It is not perfect.If gb ejection fraction is low in patient with biliary colic , chronic gall bladder disease /biliary dyskinesia probable. With acute symptoms non visualization of gb means acute cholecystitis, surgical emergency.False positives prolonged fasting, tpn,alcoholism, recent narcotic, pancreatitis ...Read more

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What does normal low results mean on a hida scan?

Still normal range: Low normal means the results are still in the normal range, but tend to fall near the lower end of a normal curve. ...Read more

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What about a result of 95%? for hida scan is this still normal?

HIDA scan: If you are describing the fraction of gallbladder emptying, 95% is fine. there may be other causes for pain in the upper right abdomen. ...Read more

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Will being hungover change results of hida scan?

Will being hungover change results of hida scan?

Why be hungover: Alcoholism may increase bile viscosity and result in abnormal hepatobiliary function.Should have HIDA test performed under optimal conditions. ...Read more

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Before hida scan i fasted for 20 hrs could this throw the results off?

Not likely: Usually we say dont fast more than 24 hrs. So in general 20 hrs would probably be ok...We would not want someone to fast much longer then that. However, if someone has fasted longer than 24 hrs, a medicine can be given before the study...So that we dont have problems caused by this. ...Read more

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In 2010 had hida scan results were 23%. In 2012 results were 50%. No pain during test but shortly after. Does gb get better or change from day to day.?

Can get better: The gallbladder can get better on its own, i've seen people with low gallbladder ejection fractions consistent with chronic cholecystitis get better without surgery. There also is a day-to-day variation in that it responds to recent meals, recent medications. Also, it is possible that the technique in 2010 was different than the technique in 2012. Timing of cck admin can greatly affect results. ...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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