Gallbladder dyskinesia can be very difficult to diagnose with confidence.
An accurate diagnosis based on a robust clinical story and comprehensive evaluation can eliminate needless suffering with lap chole and avoid endless diagnostic testing and often emergency room visits for pain.
A low ejection fraction on CCK-HIDA scan without biliary pain should not lead to a diagnosis of gallbladder dyskinesia.
Normokinetic and hypokinetic gallbladder dyskinesia are the two sub-types of this diagnosis. Sphincter of Oddi dysfunction can produce symptoms that mimic gallbladder dyskinesia.
The Rome III criteria for gallbladder dyskinesia offers a good description of biliary pain characteristics but does not highlight that vomiting can sometimes be the dominant symptom.
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