Document Detail

Chronic biliary-type pain in the absence of gallstones: the value of cholecystokinin cholescintigraphy.
MedLine Citation:
PMID:  1503014     Owner:  NLM     Status:  MEDLINE    
Radiologic criteria for the diagnosis of gallbladder disease largely rest on the detection of calculi. Surgeons are reluctant to do a cholecystectomy in patients with symptoms of gallbladder disease if the results of sonography or cholecystography are normal. Consequently these patients are often left with no satisfactory treatment. Such patients may have chronic acalculous cholecystitis, partial obstruction of the cystic duct, or gallbladder dyskinesia. Increasing evidence indicates that at least some of these patients have decreased gallbladder emptying in response to a stimulus such as a test meal or cholecystokinin. Impaired emptying shown by cholecystokinin cholescintigraphy may be useful for predicting which patients with typical biliary-type pain but no evidence of calculi will be cured by cholecystectomy.
R Kloiber; C P Molnar; E A Shaffer
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  159     ISSN:  0361-803X     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  1992 Sep 
Date Detail:
Created Date:  1992-09-14     Completed Date:  1992-09-14     Revised Date:  2008-02-15    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  509-13     Citation Subset:  AIM; IM    
Department of Radiology, Foothills Hospital, Calgary, Alberta, Canada.
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MeSH Terms
Cholelithiasis / complications,  radionuclide imaging*
Chronic Disease
Gallbladder Diseases / complications,  radionuclide imaging*,  surgery
Imino Acids / diagnostic use*
Organotechnetium Compounds / diagnostic use*
Pain / etiology*
Reg. No./Substance:
0/Imino Acids; 0/Organotechnetium Compounds; 0/technetium Tc 99m iminodiacetic acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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