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American Journal of Roentgenology, Vol 159, 509-513, Copyright © 1992 by American Roentgen Ray Society


ARTICLES

Chronic biliary-type pain in the absence of gallstones: the value of cholecystokinin cholescintigraphy

R Kloiber, CP Molnar and EA Shaffer
Department of Radiology, Foothills Hospital, Calgary, Alberta, Canada.

Radiologic criteria for the diagnosis of gallbladder disease largely rest on the detection of calculi. Surgeons are reluctant to do a cholecystectomy in patients with symptoms of gallbladder disease if the results of sonography or cholecystography are normal. Consequently these patients are often left with no satisfactory treatment. Such patients may have chronic acalculous cholecystitis, partial obstruction of the cystic duct, or gallbladder dyskinesia. Increasing evidence indicates that at least some of these patients have decreased gallbladder emptying in response to a stimulus such as a test meal or cholecystokinin. Impaired emptying shown by cholecystokinin cholescintigraphy may be useful for predicting which patients with typical biliary-type pain but no evidence of calculi will be cured by cholecystectomy.
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J Ultrasound MedHome page
R. G. Barr, T. Kido, and J. R. Grajo
Comparison of Sonography and Scintigraphy in the Evaluation of Gallbladder Functional Studies With Cholecystokinin
J. Ultrasound Med., September 1, 2009; 28(9): 1143 - 1147.
[Abstract] [Full Text] [PDF]




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Copyright © 1992 by the American Roentgen Ray Society.