PMID- 36843690 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230228 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 15 IP - 1 DP - 2023 Jan TI - Biliary Hyperkinesia and Its Association With Bariatric Surgery: A Case Report and Review of Management Strategies. PG - e34119 LID - 10.7759/cureus.34119 [doi] LID - e34119 AB - In a post-bariatric surgery patient with suspected biliary dyskinesia, what does an ejection fraction (EF) of 87% on hepatobiliary iminodiacetic acid (HIDA) scan indicate to a healthcare provider? Conventionally, in post-bariatric patients, the gallbladder becomes hypofunctional; however, in this case, the gallbladder activity increased exponentially. Of note, there are no previously documented cases of developing an overactive gallbladder after undergoing a bariatric surgery procedure. This report aims to explore the possible associations between bariatric surgery and the development of gallbladder hyperkinesis in the early postoperative period, the diagnostic tool used to discover the source of our patient's ailment, as well as the rationality behind a surgical procedure that led to an excellent response, namely, laparoscopic cholecystectomy. CI - Copyright (c) 2023, Holder et al. FAU - Holder, Shaniah S AU - Holder SS AD - Department of Medicine, American University of Barbados School of Medicine, Bridgetown, BRB. AD - Department of Surgery, West Suburban Medical Center, Chicago, USA. FAU - Nwagwu, Ulochi AU - Nwagwu U AD - Department of Medicine, St. George's University School of Medicine, True Blue, GRD. AD - Department of Surgery, West Suburban Medical Center, Chicago, USA. FAU - Ghouse, Farhana AU - Ghouse F AD - Department of Medicine, Saint James School of Medicine, Park Ridge, USA. AD - Department of Surgery, West Suburban Medical Center, Chicago, USA. FAU - Ali, Muhammad Zain AU - Ali MZ AD - Department of Medicine, Saint James School of Medicine, Park Ridge, USA. AD - Department of Surgery, West Suburban Medical Center, Chicago, USA. FAU - Tiesenga, Frederick AU - Tiesenga F AD - Department of General Surgery, West Suburban Medical Center, Chicago, USA. LA - eng PT - Case Reports DEP - 20230123 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC9949990 OTO - NOTNLM OT - bariatric surgery OT - biliary dyskinesia OT - cholecystectomy OT - ejection fraction OT - functional gallbladder disorder OT - hida scan OT - hyperactive gallbladder OT - sleeve gastrectomy COIS- The authors have declared that no competing interests exist. EDAT- 2023/02/28 06:00 MHDA- 2023/02/28 06:01 PMCR- 2023/01/23 CRDT- 2023/02/27 03:52 PHST- 2023/01/23 00:00 [accepted] PHST- 2023/02/27 03:52 [entrez] PHST- 2023/02/28 06:00 [pubmed] PHST- 2023/02/28 06:01 [medline] PHST- 2023/01/23 00:00 [pmc-release] AID - 10.7759/cureus.34119 [doi] PST - epublish SO - Cureus. 2023 Jan 23;15(1):e34119. doi: 10.7759/cureus.34119. eCollection 2023 Jan.