PMID- 16389335
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20060126
LR  - 20200929
IS  - 0899-8280 (Print)
IS  - 0899-8280 (Linking)
VI  - 13
IP  - 4
DP  - 2000 Oct
TI  - Laparoscopic cholecystectomy for acalculous gallbladder disease.
PG  - 331-3
AB  - Use of laparoscopic cholecystectomy (LC) to treat patients with symptoms due to 
      gallstone disease is well established. However, use of LC for patients with 
      acalculous gallbladder disease remains controversial. In this study, we examined 
      the use of hepatobiliary iminodiacetic acid (HIDA) scans with cholecystokinin 
      (CCK) infusion to identify patients with acalculous gallbladder disease who would 
      benefit from LC. From December 1991 to February 1997, 4480 patients underwent 
      cholecystectomy at Baylor University Medical Center, including 72 patients who 
      underwent LC for acalculous disease following preoperative HIDA scan. We 
      retrospectively analyzed their preoperative symptoms and workup. Follow-up was 
      obtained by telephone questionnaire in 59 of 72 patients (82%). Overall, 48 of 59 
      patients (82%) reported an excellent outcome following LC. We found no 
      significant difference in outcome in patients who underwent HIDA scan with CCK 
      infusion, regardless of gallbladder ejection fraction or exacerbation of symptoms 
      caused by the infusion. Preoperative symptom complex was also not predictive of 
      postoperative outcome. LC is an effective treatment for patients with acalculous 
      gallbladder disease. A preoperative HIDA scan with CCK infusion does not 
      accurately predict treatment success or failure. Patients with a normal ejection 
      fraction and absence of symptoms from a HIDA scan can still have excellent relief 
      of symptoms after LC.
FAU - Fuller, R A
AU  - Fuller RA
AD  - Department of Surgery, Baylor University Medical Center, Dallas, Texas, USA.
FAU - Kuhn, J A
AU  - Kuhn JA
FAU - Fisher, T L
AU  - Fisher TL
FAU - Newsome, T W
AU  - Newsome TW
FAU - Smith, B A
AU  - Smith BA
FAU - Jones, R C
AU  - Jones RC
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Proc (Bayl Univ Med Cent)
JT  - Proceedings (Baylor University. Medical Center)
JID - 9302033
PMC - PMC1312225
EDAT- 2006/01/04 09:00
MHDA- 2006/01/04 09:01
PMCR- 2000/10/01
CRDT- 2006/01/04 09:00
PHST- 2006/01/04 09:00 [pubmed]
PHST- 2006/01/04 09:01 [medline]
PHST- 2006/01/04 09:00 [entrez]
PHST- 2000/10/01 00:00 [pmc-release]
AID - bumc0013-0331 [pii]
AID - 10.1080/08998280.2000.11927698 [doi]
PST - ppublish
SO  - Proc (Bayl Univ Med Cent). 2000 Oct;13(4):331-3. doi: 
      10.1080/08998280.2000.11927698.