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Biliary dyskinesia in pediatrics

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Abstract

Biliary dyskinesia is a potential cause for acalculous biliary colic in pediatric patients. A triad of symptoms and signs, consisting of abdominal pain (with or without associated nausea or fatty food intolerance), absence of gallstones, and an abnormally low cholecystokinin-stimulated gallbladder ejection fraction is used to diagnose the disorder. In several small pediatric case series, cholecystectomy resulted in symptomatic improvement in a majority of patients with biliary dyskinesia. However, the diagnosis of biliary dyskinesia and appropriate management remain controversial. This review discusses the purported pathophysiology of biliary dyskinesia and the data available regarding diagnosis and treatment of this entity in the pediatric population.

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Authors and Affiliations

  1. Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Medical College of Wisconsin, MACC Fund Research Center, 8701 Watertown Plank Road, PO Box 265090, 53226-0509, Milwaukee, WI, USA

    Grzegorz Telega MD

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  1. Grzegorz Telega MD
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Correspondence to Grzegorz Telega MD.

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Telega, G. Biliary dyskinesia in pediatrics. Curr Gastroenterol Rep 8, 172–176 (2006). https://doi.org/10.1007/s11894-006-0015-7

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  • DOI: https://doi.org/10.1007/s11894-006-0015-7

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