| Effectiveness of cholecystokinin-stimulated cholescintigraphy in the diagnosis and treatment of acalculous gallbladder disease. | |
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MedLine Citation:
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PMID: 9290518 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We retrospectively reviewed the medical records of 107 patients in two community hospitals who had undergone cholecystokinin-stimulated cholescintigraphy with ejection fraction to determine whether this test is reliable in identifying patients whose symptoms will improve following cholecystectomy. Patients with cholelithiasis or incomplete medical records and patients who could not be interviewed were excluded from the study. Forty-two of 58 study patients (72%) had an abnormal ejection fraction (defined as 35% or less); 27 of 42 patients (64%) underwent cholecystectomy. Twenty-six of 27 (96%) reported lessening of or resolution of symptoms following cholecystectomy. Sixty-seven per cent of the surgical specimens from the 27 patients demonstrated chronic cholecystitis. Fifteen of 42 patients (36%) with abnormal ejection fractions did not undergo cholecystectomy; 12 of 15 (80%) also reported lessening or resolution of symptoms. Of the 16 of 58 patients with a normal ejection fraction, 2 underwent cholecystectomy and reported resolution of symptoms. Five of 14 (36%) with normal ejection fractions who did not undergo cholecystectomy reported improvement. In this series, most patients with an abnormal ejection fraction had lessening of symptoms regardless of whether they underwent cholecystectomy. |
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Authors:
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M T Mishkind; R F Pruitt; D A Bambini; A M Hakenewerth; M H Thomason; J H Zuger; T Novick |
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Publication Detail:
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Type: Journal Article; Multicenter Study |
Journal Detail:
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Title: The American surgeon Volume: 63 ISSN: 0003-1348 ISO Abbreviation: Am Surg Publication Date: 1997 Sep |
Date Detail:
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Created Date: 1997-09-30 Completed Date: 1997-09-30 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370522 Medline TA: Am Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 769-74 Citation Subset: IM |
Affiliation:
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Department of General Surgery, Carolinas Medical Center, Charlotte, North Carolina 28232-2861, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Case-Control Studies Cholecystectomy Cholecystitis / radionuclide imaging*, surgery* Chronic Disease Female Gallbladder / radionuclide imaging* Gallbladder Emptying Humans Imino Acids / diagnostic use Logistic Models Male Middle Aged Organotechnetium Compounds / diagnostic use Predictive Value of Tests Radiopharmaceuticals / diagnostic use Retrospective Studies Sincalide / diagnostic use* |
| Chemical | |
Reg. No./Substance:
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0/Imino Acids; 0/Organotechnetium Compounds; 0/Radiopharmaceuticals; 0/technetium Tc 99m mebrofenin; 25126-32-3/Sincalide |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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