Gallbladder Dysfunction

[@ROFO79]

My son who is 19 years old was just diagnosed with us. He’s been dealing with a lot of stomach pain for the last six months.

[@LeeHawkinsPhoto]

Why remove an organ rather than rehabilitate it?!? This makes zero sense, as a 20-30% chance that it won’t resolve symptoms is really pretty high. I’ve seen stats that put the number far higher at 40%…that’s almost 50-50. I think common sense (and not the kind of sense that develops inside a community that accepts a 20-40% failure rate) dictates that better options MUST exist.

[@tonysoprano9370]

The bile still stays thick even without the gallbladder and still has trouble flowing through the bile duct and in turn giving the same symptoms so yes I agree removing the gallbladder for this condition is pointless. We need to look at addressing what is causing the thickening of the bile.

[@Starr1onebeatz]

Removing it is not the Answer...

[@henrymoreira7898]

Exactly my point!

[@spencerjones1771]

🆘. Trying to manage this condition and avoid surgery. But how can one rehabilitate the gallbladder?

[@Starr1onebeatz]

@@spencerjones1771 Ask for a Non-Surgical Option, called ERCP (Endoscopic Retrograde cholangiopancreatography) it's a Procedure to remove the Stones.

[@pammoore9606]

Is it harmful to NOT get the gallbladder removed even though it is found to be low functioning (my HIDA showed EF 23 %) My gallbladder symptoms were on/off for the past 4 -1/2 mos but since I changed my diet to vegan (no meat/no dairy) I have felt a lot better without pain most days and when I do have pain it is minimal, so wondered if I'd be putting my health in jeopardy if I do not get my gallbladder removed even though it is low functioning (biliary dyskinesia)? I know if I go see the General Surgeon whom I'm scheduled to see next wk , he'll want to schedule me for a choley

[@thesurgicalscholar]

Removal of the gallbladder for dysfunction is primarily to address the symptoms.

[@serenitystars8839]

I was told once you have a bad gallbladder it usually doesn’t get better, if you can manage with diet changes & minimal pain then great but eventually it will get bad & trust me that’s no fun, mine was left 4 years failing as all my scans were normal as I didn’t have gallstones. Then a hida scan shows low EF, and after 3 years my pain was severe and constant 24.7, waiting for surgery is hell

[@BlackMamba08]

My ejection fraction is at 0% 😅. When I got the CCK IV push that hurt so much that I just wanted for it to be done.

[@ThànhTrần-333]

Do you still have your gallbladder?

[@aegeanzigitty2737]

I’ve had my gallbladder removed a week ago (no stones) and have had two of the most severe gallbladder attacks of my life few days post surgery! Before the surgery it was about twice a year that I would get an attack. What was the point! I’m also researching Sphincter of Oddi as a possible cause of the new attacks as my GP was of no help when I told him about my post surgery attacks. I’m afraid of when the next one will be.

[@serenitystars8839]

Hi can I ask was all your other scans normal? & your gallbladder issues then picked up on hida scan? I’ve spoken to many people who had 0% Ef, gallbladder removed, but it had already caused sphincter of oodi dysfunction. There is a procedure & some meds that can help but it’s difficult to treat, you need a ercp to check SOD, but that has a 40% risk of then causing acute pancreatitis 🤦🏼‍♀️🤦🏼‍♀️🤦🏼‍♀️🤦🏼‍♀️ I hope you get sorted, living in this pain is pure hell

[@ThànhTrần-333]

Do you have a video on biliary hyperkinesia? Thanks

[@FloresJonners]

How long is the HIDA test?

[@brakeme1]

2 to 3 hrs mine was ez and painless

[@serenitystars8839]

Can anyone tell me why opioids will affect the hida scan? I have 3 chronic conditions that cause severe pain along with severe gallbladder symptoms, I have to take oxycodone every 3 hours all day and night, I’ve been told I can’t take it before the hida scan? But don’t know why or for how long before? Or hie I will manage without it for that long

[@nazarladanyak9911]

What is HIDA scan shows 10% of ejection fraction but patient did not experience any pain with CCK injection?

[@thesurgicalscholar]

The result of removal of gallbladder may not improve symptoms, CCK injection or fatty food stimulation when combined with reduced ejection fraction is more likely to predict good outcome from cholecystectomy. This is not an exact science.

[@mailsat]

Hey.. did you go for surgery or did an alternative medicine remedy work for you ? Same issue as yours in my HIDA

[@life-is-beautiful-j2j]

@@thesurgicalscholar Thank you so much for this information! I am seeing a general surgeon next week to discuss possible gallbladder surgery due to dull pains in my upper right quadrant and a 3% of ejection fraction. I will definitely bring this up with the doctor. In my case, aside from the dull pains, which has been consistent even when not eating, I don't experience indigestion, diarrhea, constipation, or nausea. During the HIDA scan, I had no pain or whatsoever when CCK was injected. Based on your video and comments, it seems that a surgery may not provide a good outcome for me.

[@brieestar0307]

@@life-is-beautiful-j2jI had 7% & no pain when it was injected either idk what to do

[@robertisaac1286]

Not much research on biliary HYPERKINESIA. I have a HIDA scan EF of 99% with mild replication of symptoms during scan. 3 doctors suggest removal. Wish me luck…

[@thesurgicalscholar]

Gallbladder ejection fraction studies the extent of the 'emptying' of the gallbladder, a reading of over 30% would be normal.

[@robertisaac1286]

@@thesurgicalscholar hyperkinetic gallbladder isn’t recognized by all surgeons. But more and more are recognizing an EF over 80% as problematic. My surgeon said 100% of the hyperkinetic gallbladders he has removed have come back chronically inflamed in the pathology report. If you do a quick KZbin search for hyperkinetic gallbladder, the top search is a presentation from the Society of American Gastrointestinal and Endoscopic surgeons about early studies on the success of cholecystectomy on high EF symptomatic patients.

[@mist4926]

@@thesurgicalscholar yes but below 60%

[@victoriaday2681]

I jad mine removed

[@Touchofvegansoul]

Is it true they give you morphine during the test? I’m asking because I’m in recovery.

[@jayndough68]

I just had the test. No morphine

[@andreeasocolaw4557]

They can if they don’t visualize the gallbladder

[@liamcarey6827]

Morphine is used if the patient is suspicious of acute calculous cholecystitis, or obstruction of the cystic duct connecting the gallbladder to the common bile duct. Hope you recovered well

[@pammoore9606]

The morphine is only necessary if the gallbladder does not relax properly when they are testing the gallbladder function during the HIDA scan (that's what I was told)