HIDA scan for functional gallbladder disorder: ensure that you know how the scan was done

Background Despite the increasing use of fatty meal (FM) as a substitute for cholecystokinin (CCK) in pain reproduction during hepato-imino-diacetic acid (HIDA) scan in functional gallbladder disorder, there are no studies comparing the differences between CCK and FM. The present study was to compar...

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Bibliographic Details
Published in:Hepatobiliary & pancreatic diseases international 2017-04, Vol.16 (2), p.197-201
Main Authors: Goussous, Naeem, Maqsood, Hadia, Spiegler, Ethan, Kowdley, Gopal C, Cunningham, Steven C
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Adolescent
Adult
Aged
Aged, 80 and over
biliary dyskinesia
Biliary Dyskinesia - diagnostic imaging
Biliary Dyskinesia - physiopathology
Biliary Dyskinesia - surgery
Cholecystectomy
cholecystokinin
Cholecystokinin - administration & dosage
Cholecystokinin - adverse effects
Dietary Fats - administration & dosage
Dietary Fats - adverse effects
Endocrinology & Metabolism
Female
Gallbladder - diagnostic imaging
Gallbladder - physiopathology
Gallbladder - surgery
gallbladder dysfunction
Gastroenterology and Hepatology
hepato-imino-diacetic acid
Humans
Imino Acids - administration & dosage
Male
Middle Aged
Predictive Value of Tests
Radiopharmaceuticals - administration & dosage
Vitamin K - administration & dosage
Vitamin K - adverse effects
Young Adult
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Summary:Background Despite the increasing use of fatty meal (FM) as a substitute for cholecystokinin (CCK) in pain reproduction during hepato-imino-diacetic acid (HIDA) scan in functional gallbladder disorder, there are no studies comparing the differences between CCK and FM. The present study was to compare the efficacy of FM in comparison of CCK in FGBD application. Methods Patients undergoing HIDA scans from August 2013 to May 2014 were divided into two groups: those undergoing CCK-stimulated HIDA scan versus FM-stimulated HIDA scan. These groups were compared according to demographics and HIDA results. Results Of 153 patients, 70 received CCK and 83 FM. There was no difference regarding age, gender, gallstones, gallbladder ejection fraction and time to visualization. However, significantly more of the patients receiving CCK than FM experienced pain reproduction (61% vs 30%, P
ISSN:1499-3872
DOI:10.1016/S1499-3872(16)60188-1