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1.
Korean Journal of Pancreas and Biliary Tract ; : 150-158, 2018.
Article in Korean | WPRIM | ID: wpr-717615

ABSTRACT

Functional dyspepsia is a very common disease and there are two types of dyspepsia. One is functional dyspepsia in the gastrointestinal tract and the other is pancreatobiliary dyspepsia. Biliary dyspepsia is caused by biliary tract disease and can even cause biliary pain. Acalculous biliary pain (ABP) is biliary colic without gallstones, it is caused by functional biliary disorder or structural disorders such as microlithiasis, sludges or parasitic infestation like Clonorchiasis. The endoscopic ultrasonography is helpful tool for differential diagnosis of ABP. Although sphincter of Oddi manometry (SOM) is performed for the confirmative diagnosis of sphincter of Oddi dysfunction (SOD), several non-invasive tests have been studied because of some practical limitations and invasiveness of SOM itself. In fact, the most clinically used easy test to diagnose functional biliary disorder is quantitative hepatobiliary scintigraphy and it can distinguish gallbladder dyskinesia, SOD, or combined type. Initial treatment of functional biliary disorder is adequate dietary control and medication, but if the symptoms worsened or recurred frequently, laparoscopic cholecystectomy could be performed with gallbladder dyskinesia. If SOD is suspected, additional SOM should be considered and endoscopic sphincterotomy (EST) can be done according to the outcome. If the SOM is not available, the patient could be diagnosed by stimulated ultrasound.


Subject(s)
Humans , Biliary Dyskinesia , Biliary Tract Diseases , Cholecystectomy, Laparoscopic , Clonorchiasis , Colic , Diagnosis , Diagnosis, Differential , Dyspepsia , Endosonography , Gallstones , Gastrointestinal Tract , Manometry , Radionuclide Imaging , Sphincter of Oddi , Sphincter of Oddi Dysfunction , Sphincterotomy, Endoscopic , Ultrasonography
2.
Br J Med Med Res ; 2016; 13(1): 1-6
Article in English | IMSEAR | ID: sea-182453

ABSTRACT

Gall bladder dyskinesia is a clinical condition, refers to presence of biliary pain in absence of gallstones. Current evaluation and management of this condition is controversial. This article explores the current evidence available in the evaluation and treatment of such patients with emphasis on selection of patients who would benefit from cholecystectomy.

3.
GED gastroenterol. endosc. dig ; 34(3): 135-142, jul.-set. 2015. ilus
Article in Portuguese | LILACS | ID: lil-779347

ABSTRACT

A dor abdominal é um sintoma relativamente comum que leva centenas de pessoas (adultos e crianças) aos centros de emergência e consultórios médicos no Brasil e no mundo. Eventualmente, a investigação por anormalidades estruturais nos órgãos abdominais não revela alterações indicativas de doença, resultando no diagnóstico de desordem funcional gastrointestinal. As desordens funcionais precisam ser investigadas a fundo para a aquisição do diagnóstico correto e início do tratamento direcionado. Nas últimas cinco décadas, a Discinesia da Vesícula Biliar (DVB) tem sido reconhecida como a principal causa da dor abdominal em pacientes com desordens funcionais gastrointestinais sem alterações aparentes nos órgãos abdominais. A DVB é um distúrbio funcional da vesícula biliar caracterizada pelos sintomas de cólica biliar, pela ausência de patologia da vesícula biliar visível e pela redução da fração de ejeção da vesícula biliar (FEVB) observada na colecintigrafia. Entretanto, o diagnóstico e o tratamento desta doença permanecem controversos. Nesse contexto, o presente trabalho consiste em uma revisão da literatura e tem, como objetivo, apresentar e discutir o estado da arte da DVB, contemplando as mais atuais modalidades de diagnóstico e os principais métodos de tratamento da doença.


The abdominal pain is a relatively common symptom that takes hundreds of people (adults and children) to Emergency Rooms and doctors offices in Brazil and all around the world. Occasionally, the search for structural irregularities in the abdominal organs does not reveal indication of diseases, leading to the diagnosis of gastrointestinal functional disorder. The functional disorders must be deeply investigated in order to achieve the correct diagnosis and begin the specific treatment. Over the last five decades, the Gallbladder Dyskinesia (GD) has been recognized as the main cause for abdominal pain among patients with gastrointestinal functional disorders but no apparent alteration in the abdominal organs. The GD is a gallbladder functional disorder known for symptoms such as biliary colic, absence of any noticeable gallbladder pathology and a reduction of the gallbladders ejection fraction (GEF) noticed through the cholecystography. Nonetheless, the diagnosis and the treatment for this disease remain controversial. In this context, the following study consists in a review of the literature and has, as its main objective, to present and discuss the current situation of the GV, addressing the most advanced diagnosis strategies and the main treatment methods for the disease.


Subject(s)
Humans , Biliary Dyskinesia , Abdominal Pain , Biliary Dyskinesia/diagnosis , Biliary Dyskinesia/etiology , Cholecystectomy , Abdominal Pain/diagnosis , Gallbladder
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