| Biliary dyskinesia. | |
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MedLine Citation:
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PMID: 18992594 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Functional disorders of the biliary tract include gallbladder dyskinesia (GBD) and sphincter of Oddi dysfunction (SOD). The diagnosis of GBD is made if the gallbladder ejection fraction is less than 35% to 40% using cholecystokinin cholescintigraphy. Despite slightly inferior outcomes compared with calculous disease, patients who have GBD should be treated with cholecystectomy. SOD is most often noted in the postcholecystectomy patient and symptoms can be biliary or pancreatic in nature. The gold standard for diagnosis remains manometry, with basal biliary or pancreatic sphincter pressures measuring greater than 40 mm Hg. Patients who have increased pressures may benefit from endoscopic sphincterotomy. |
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Authors:
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Melina C Vassiliou; William S Laycock |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The Surgical clinics of North America Volume: 88 ISSN: 0039-6109 ISO Abbreviation: Surg. Clin. North Am. Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-11-10 Completed Date: 2009-03-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0074243 Medline TA: Surg Clin North Am Country: United States |
Other Details:
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Languages: eng Pagination: 1253-72, viii-ix Citation Subset: AIM; IM |
Affiliation:
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Department of General Surgery, Division of Minimally Invasive Surgery, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Biliary Dyskinesia*
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etiology,
physiopathology,
surgery Cholecystectomy / methods Gallbladder / physiopathology Gallbladder Emptying / physiology Humans Prognosis |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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