Biliary dyskinesia. Biliary dyskinesia refers to altered tone of the sphincter of oddi. It causes the coordination of contracture of the biliary ducts or the emptying of the biliary tree. It is often a symptomof of gall stones, acute or chronic pancreatitis, chronic inflammation or other GI disorders.
Yes. The gall bladder stores and concentrates bile made by the liver to help digest and absorb fats. The gallbladder has nerves which control ejection of the bile when needed. In biliary dyskinesia the contraction of the gallbladder is abnormal. The duct cointracts first and then the gallbladder. So the gallbladder is trying to eject bile through a closed tight opening. This causes pain without stones.
Biliary dyskinesia. Sphincter of oddi dysfunction, or biliary dyskinesia, is defined by bile duct manometry showing sphincter spasm, increased phasic contraction frequency (tachyoddia), paradoxical contraction response to cck, & abnormal propagation of phasic waves. Response to sphincterotomy is predicted by associated abnornalities in serum liver functions as well as manometry findings. Pain alone may not so respond.
Sick Gallbladder. Biliary dyskinesia is ineffective gallbaldder emptying in response to cck, the hormone released by our intestinal cells in response to eating fats. A low fat diet is recommended for conservative management of this problem. If pain continues then surgical removal of the gallbladder might be considered. Good luck!
Biliary dyskinesia. This is a condition in which the gallbladder does not function normally. It is diagnosed based upon symptoms of right upper quadrant pain without gallstones or sludge and a hida scan demonstrating a reduced gb ejection fraction. Absent other causes or explanations for the pain, surgery is often recommended. Some patients will continue to suffer from pain following gb removal.
Shouldn't. Unlikely to have any direct or indirect effect; mention to your anesthesiologist though.
Narcotic affect duct. I agree with dr. Heller that your anesthesiologist be infomed to the fullest extent regarding your medical history. Be aware that some narcotics given pre- and post-operatively have been shown to affect biliary function and contractility, and may therefore promote biliary spasm (and in so doing at least temporarily exacerbate your biliary dyskinesia).
Narcotic effect. Virtually all opioid can cause spasm of the biliary drainage system. Ask your surgeon and anesthesiologist about regional anesthesia techniques that can minimize the amount of opioid needed. You may be an candidate for a number of techniques.
Biliary dyskinesia. Carries a significant risk for serious consequences such as acalculous cholecystitis and should be teated under the guidance of your primary care physician in consultation with a surgeon. The pain should be your clue to do something about it. There is no limitation regarding the use of pain meds for headache in the face of BD. Most meds will not help biliary pain.
Was diagnosed with biliary dyskinesia with 7% ejection rate. Now my symptoms have all but disappeared. Is this possible?
Yes, but. It will likely return. It is possible that a small gallstone passed, and you are fine now. But the real problem is in the gallbladder, which will most likely continue to produce stones.
HIDA scan. Diagnosis is made to confirm non function of the gallbladder. An ultrasound will show no stones and be normal. A hida scan will demonstrate decreased function or decreased ejection fraction and most likely produce pain if cck is used. The treatment is gallbladder removal.
HIDA. Hida scan can be performed with or without cck. The cck portion of the scan allows for calculation of gallbladder ejection fraction. Hida scan can be normal (no cystic duct or common duct obstruction) but gallbladder ejection fraction can be high. The clinical meaning of a high gallbladder ejection fraction is debatable.
Possibly. Most physicians in nuclear medicine and gastroenterology believe that increased ejection fraction of gall bladder is probably normal (above 35%). A well known nuclear physician reported small group of patients with hyperkinetic gall bladder getting relief with removal of gb. More studies needed to convince most surgeons.
Diagnosed with biliary dyskinesia, but also have pain in left upper quadrant that radiates to my back. Should I be concerned of other issues?
Other issues. As you know, biliary dyskinesia frequently has Rt upper abd pain, but almost never left- youe need to look into colon, spleen and kidney problems on the left upper side.
Diagnosed with biliary dyskinesia. But when the path report came back on my gallbladder after surgery it was negative. How's that work? Is that possible
To be expected. Biliary dyskinesia just means the gallbladder doesn't squeeze properly to expel the bile into the bile duct. Under the microscope, the gallbladder can have only slight inflammation or even look totally normal.