Journal of Gastrointestinal Surgery

, Volume 16, Issue 1, pp 135–141

Biliary Dyskinesia: How Effective is Cholecystectomy?

  • Vikas Singhal
  • Patrick Szeto
  • Heather Norman
  • Nan Walsh
  • Burt Cagir
  • Thomas J. VanderMeer
2011 SSAT Plenary Presentation

DOI: 10.1007/s11605-011-1742-0

Cite this article as:
Singhal, V., Szeto, P., Norman, H. et al. J Gastrointest Surg (2012) 16: 135. doi:10.1007/s11605-011-1742-0

Abstract

Introduction

Studies on biliary dyskinesia have been based on short-term surgical follow-up and do not take into consideration that most patients are discharged from surgical follow-up after the first postoperative visit and that for persistent or recurrent symptoms they are frequently seen by primary care providers and subsequently referred to gastroenterologists. We aimed to study this pattern and assess which factors predict patients that will benefit from cholecystectomy.

Method

This is a retrospective analysis of medical records of patients who underwent cholecystectomy for biliary dyskinesia from February 2001 to January 2010 with a minimum postoperative follow-up of 6 months.

Results

At initial surgical follow-up, 19 of 141 (13.4%) patients said they had persistent symptoms. However, when subsequent visits were analyzed, 61 of 141 (43.3%) patients with persistent or recurrent symptoms saw their primary care provider. These symptoms were epigastric or right upper quadrant pain in 43 patients or 30% of those undergoing cholecystectomy. The only factor that distinguished patients with and without resolution of symptoms after cholecystectomy was the pathologic finding of inflammation (p = 0.02).

Conclusion

Cholecystectomy does not appear to be as effective for biliary dyskinesia when long-term follow-up is evaluated.

Keywords

Biliary dyskinesiaCholecystectomyHIDA scanCCK stimulationEndoscopy

Copyright information

© The Society for Surgery of the Alimentary Tract 2011

Authors and Affiliations

  • Vikas Singhal
    • 1
  • Patrick Szeto
    • 1
  • Heather Norman
    • 1
  • Nan Walsh
    • 1
  • Burt Cagir
    • 1
  • Thomas J. VanderMeer
    • 1
  1. 1.Department of SurgeryGuthrie-Robert Packer HospitalSayreUSA