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Journal article
Biliary hyperkinesia: A potentially surgically correctable disorder in adolescents
Journal of pediatric surgery case reports, v 1(9), pp 314-316
01 Sep 2013
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Biliary colic, which is characterized by intermittent, usually postprandial, right upper quadrant pain, is a common complaint in the pediatric population and usually prompts further evaluation with an abdominal ultrasound. Those patients without evidence of cholelithiasis are sometimes referred for a hepatobiliary iminodiacetic acid scan with cholecystokinin stimulation (CCK-HIDA) to assess gallbladder function. When the gallbladder empties poorly, the diagnosis of biliary dyskinesia, defined as a gallbladder ejection fraction less than 35%, is made, and cholecystectomy can be considered. There is a subset of symptomatic patients, however, who have an abnormally high ejection fraction, defined as greater than 65%. The approach to the treatment of these patients with biliary hyperkinesia is still undetermined, as there is little in the literature regarding this entity. With IRB approval (protocol # 1307002185), we report our series of three adolescent females found to have biliary hyperkinesia whose symptoms immediately resolved following laparoscopic cholecystectomy. (C) 2013 The Authors. Published by Elsevier Inc.
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Details
- Title
- Biliary hyperkinesia: A potentially surgically correctable disorder in adolescents
- Creators
- Lauren Huckaby - Temple UniversityShaheen Timmapuri - St. Christopher's Hospital for ChildrenRajeev Prasad - St. Christopher's Hospital for Children
- Publication Details
- Journal of pediatric surgery case reports, v 1(9), pp 314-316
- Publisher
- Elsevier
- Number of pages
- 3
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000218733300015
- Scopus ID
- 2-s2.0-84893036795
- Other Identifier
- 991019167819904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics