Biliary dyskinesia diagnostic criteria

Biliary dyskinesia Microchapters
Home
Overview
Pathophysiology
Causes
Differentiating Biliary dyskinesia from other Diseases
Epidemiology and Demographics
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
CT
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Biliary dyskinesia diagnostic criteria On the Web
Most recent articles
cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Biliary dyskinesia diagnostic criteria All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Biliary dyskinesia diagnostic criteria
CDC on Biliary dyskinesia diagnostic criteria
Biliary dyskinesia diagnostic criteria in the news
Blogs on Biliary dyskinesia diagnostic criteria
Directions to Hospitals Treating Biliary dyskinesia
Risk calculators and risk factors for Biliary dyskinesia diagnostic criteria

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]

Diagnostic Criteria

Rome IV Diagnostic Criteria for Biliary Pain (Content from Cotton PB, Elta GH, Carter CR, et al. Gallbladder and sphincter of Oddi disorders. Gastroenterology 2016)
Diagnostic Criteria	Supportive criteria
Pain located in the epigastrium and/or right upper quadrant (RUQ) and all of the following: Builds up to a steady level and lasting 30 minutes or longer Occurring at different intervals (not daily) Severe enough to interrupt daily activities or lead to a visit to an emergency department Not significantly (<20%) related to bowel movements Not significantly (<20%) relieved by postural change or acid suppression	The pain may be associated with: Nausea and vomiting Radiation to the back and/or right infrasubscapular region Waking from sleep

Rome IV Diagnostic Criteria for Functional Gallbladder Disorder and Functional Biliary Sphincter of Oddi Disorder (Content from Cotton PB, Elta GH, Carter CR, et al. Gallbladder and sphincter of Oddi disorders. Gastroenterology 2016)
Functional Gallbladder Disorder  (FGD)	Functional Biliary Sphincter of Oddi Disorder (SOD)
Diagnostic Criteria Criteria for biliary pain Absence of gallstones disease or other structural pathology   Supportive criteria   Low ejection fraction on gallbladder scintigraphy Normal liver enzymes, conjugated bilirubin, and amylase/lipase	Diagnostic Criteria Criteria for biliary pain Elevated liver enzymes or dilated bile duct, but not both Absence of bile duct stones or other structural abnormalities   Supportive criteria Normal amylase/lipase Abnormal sphincter of Oddi manometry HIDA scan