Biliary dyskinesia natural history, complications and prognosis: Difference between revisions
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== Overview == | == Overview == | ||
[[Symptom|Symptoms]] of biliary dyskinesia have been reported to resolve without any [[Invasive (medical)|invasive]] procedure in about half of the patients. Patients with [[gallbladder]] dyskinesia (GD) that have typical classic biliary symptoms are more likely to have improvement after [[cholecystectomy]] compared to those with atypical symptoms. Relief of [[Symptom|symptoms]] has been reported in 80% of the patients that were diagnosed with [[sphincter of Oddi]] disorder (SOD) by manometry and treated with [[sphincterotomy]]. | |||
== Natural History and Complications == | |||
=== Natural History === | |||
[[Symptom|Symptoms]] of biliary dyskinesia have been reported to resolve without any [[Invasive (medical)|invasive]] procedure in about half of the patients.<ref name="pmid25193389">{{cite journal| author=Bielefeldt K, Saligram S, Zickmund SL, Dudekula A, Olyaee M, Yadav D| title=Cholecystectomy for biliary dyskinesia: how did we get there? | journal=Dig Dis Sci | year= 2014 | volume= 59 | issue= 12 | pages= 2850-63 | pmid=25193389 | doi=10.1007/s10620-014-3342-9 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25193389 }} </ref> | [[Symptom|Symptoms]] of biliary dyskinesia have been reported to resolve without any [[Invasive (medical)|invasive]] procedure in about half of the patients.<ref name="pmid25193389">{{cite journal| author=Bielefeldt K, Saligram S, Zickmund SL, Dudekula A, Olyaee M, Yadav D| title=Cholecystectomy for biliary dyskinesia: how did we get there? | journal=Dig Dis Sci | year= 2014 | volume= 59 | issue= 12 | pages= 2850-63 | pmid=25193389 | doi=10.1007/s10620-014-3342-9 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25193389 }} </ref> | ||
== Prognosis == | === Prognosis === | ||
* Patients with [[gallbladder]] dyskinesia (GD) that have typical classic biliary symptoms are more likely to have improvement after [[cholecystectomy]] compared to those with atypical symptoms.<ref name="pmid19542850">{{cite journal| author=Carr JA, Walls J, Bryan LJ, Snider DL| title=The treatment of gallbladder dyskinesia based upon symptoms: results of a 2-year, prospective, nonrandomized, concurrent cohort study. | journal=Surg Laparosc Endosc Percutan Tech | year= 2009 | volume= 19 | issue= 3 | pages= 222-6 | pmid=19542850 | doi=10.1097/SLE.0b013e3181a74690 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19542850 }} </ref> | * Patients with [[gallbladder]] dyskinesia (GD) that have typical classic biliary symptoms are more likely to have improvement after [[cholecystectomy]] compared to those with atypical symptoms.<ref name="pmid19542850">{{cite journal| author=Carr JA, Walls J, Bryan LJ, Snider DL| title=The treatment of gallbladder dyskinesia based upon symptoms: results of a 2-year, prospective, nonrandomized, concurrent cohort study. | journal=Surg Laparosc Endosc Percutan Tech | year= 2009 | volume= 19 | issue= 3 | pages= 222-6 | pmid=19542850 | doi=10.1097/SLE.0b013e3181a74690 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19542850 }} </ref> |
Revision as of 08:20, 15 August 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]
Overview
Symptoms of biliary dyskinesia have been reported to resolve without any invasive procedure in about half of the patients. Patients with gallbladder dyskinesia (GD) that have typical classic biliary symptoms are more likely to have improvement after cholecystectomy compared to those with atypical symptoms. Relief of symptoms has been reported in 80% of the patients that were diagnosed with sphincter of Oddi disorder (SOD) by manometry and treated with sphincterotomy.
Natural History and Complications
Natural History
Symptoms of biliary dyskinesia have been reported to resolve without any invasive procedure in about half of the patients.[1]
Prognosis
- Patients with gallbladder dyskinesia (GD) that have typical classic biliary symptoms are more likely to have improvement after cholecystectomy compared to those with atypical symptoms.[2]
- Relief of symptoms has been reported in 80% of the patients that were diagnosed with sphincter of Oddi disorder (SOD) by manometry and treated with sphincterotomy.[3]
References
- ↑ Bielefeldt K, Saligram S, Zickmund SL, Dudekula A, Olyaee M, Yadav D (2014). "Cholecystectomy for biliary dyskinesia: how did we get there?". Dig Dis Sci. 59 (12): 2850–63. doi:10.1007/s10620-014-3342-9. PMID 25193389.
- ↑ Carr JA, Walls J, Bryan LJ, Snider DL (2009). "The treatment of gallbladder dyskinesia based upon symptoms: results of a 2-year, prospective, nonrandomized, concurrent cohort study". Surg Laparosc Endosc Percutan Tech. 19 (3): 222–6. doi:10.1097/SLE.0b013e3181a74690. PMID 19542850.
- ↑ Toouli J (2002). "Biliary Dyskinesia". Curr Treat Options Gastroenterol. 5 (4): 285–291. doi:10.1007/s11938-002-0051-9. PMID 12095476.