PMID- 26140885
OWN - NLM
STAT- MEDLINE
DCOM- 20150914
LR  - 20181203
IS  - 1555-9823 (Electronic)
IS  - 0003-1348 (Linking)
VI  - 81
IP  - 7
DP  - 2015 Jul
TI  - HIDA Scan with Ejection Fraction Is over Utilized in the Management of Biliary 
      Dyskinesia.
PG  - 669-73
AB  - Patients with upper abdominal pain, nausea, and vomiting are often evaluated with 
      ultrasound to diagnose symptomatic cholelithiasis or cholecystitis. With a normal 
      ultrasound, a hepatobiliary iminodiacetic acid (HIDA) scan with ejection fraction 
      (EF) is recommended to evaluate gallbladder function. The purpose of this study 
      was to evaluate whether the HIDA scan with EF was appropriately utilized in 
      considering cholecystectomy. Over 18 months, we performed 1533 HIDA scans with 
      EF. After exclusion, 1501 were analyzable, 438 of whom underwent laparoscopic 
      cholecystectomy. Patients were divided into two groups: those with typical and 
      atypical symptoms of biliary colic. Our primary endpoint was symptom resolution 
      of those who underwent laparoscopic cholecystectomy. Symptom resolution was 
      assessed by chart review of postop visits or readmissions. In patients with 
      typical symptoms, resolution occurred in 66 per cent of patients with positive 
      HIDA and 77 per cent with negative HIDA (P = 0.292). In patients with atypical 
      symptoms, resolution occurred in 64 per cent of patients with positive HIDA and 
      43 per cent with negative HIDA (P = 0.013). A HIDA scan with EF was not useful in 
      patients with typical symptoms of biliary colic and negative ultrasounds, and 
      should not be used to make a decision for cholecystectomy. However, this test can 
      be helpful in patients with atypical symptoms, as it does predict symptom 
      improvement in this group.
FAU - Eckenrode, Amanda H
AU  - Eckenrode AH
AD  - Greenville Health System, Greenville, South Carolina, USA.
FAU - Ewing, Joseph A
AU  - Ewing JA
FAU - Kotrady, Jennifer
AU  - Kotrady J
FAU - Hale, Allyson L
AU  - Hale AL
FAU - Smith, Dane E
AU  - Smith DE
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am Surg
JT  - The American surgeon
JID - 0370522
RN  - 0 (Imino Acids)
RN  - 0 (Radiopharmaceuticals)
RN  - EK22QV7701 (lidofenin)
RN  - QTJ2VIW97T (Technetium Tc 99m Disofenin)
SB  - IM
MH  - Adult
MH  - Biliary Dyskinesia/*diagnostic imaging
MH  - Cholecystectomy, Laparoscopic
MH  - Diagnostic Techniques, Digestive System/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - *Imino Acids
MH  - Male
MH  - Middle Aged
MH  - Predictive Value of Tests
MH  - Radionuclide Imaging
MH  - *Radiopharmaceuticals
MH  - Retrospective Studies
MH  - *Technetium Tc 99m Disofenin
MH  - Ultrasonography
EDAT- 2015/07/05 06:00
MHDA- 2015/09/15 06:00
CRDT- 2015/07/05 06:00
PHST- 2015/07/05 06:00 [entrez]
PHST- 2015/07/05 06:00 [pubmed]
PHST- 2015/09/15 06:00 [medline]
PST - ppublish
SO  - Am Surg. 2015 Jul;81(7):669-73.