Name
ACALCULOUS CHOLECYSTOPATHY
DESCRIPTION
DETAIL
- A RECURRENT RT UPPER QUADRANT PAIN IN THE ABSENCE OF GALL STONES. D.D. : - BILE DUCT STRICTURES - BILIARY COLIC - BILIARY DISEASE - BILIARY OBSTRUCTION - CHOLECYSTITIS - CHOLEDOCHOLITHIASIS - CHOLELITHIASIS - DUODENAL ULCER - GALL BLADDER CANCER - GASTRIC ULCER - GASTRITIS, ACUTE - GASTRITIS, CHRONIC - HELICOBACTER PYLORI INFECTION - HEPATITIS, VIRAL - IRRITABLE BOWEL SYNDROME - PANCREATITIS, ACUTE - PANCREATITIS, CHRONICNO SPECIFIC INVESTIGATIONS, ALL ARE DONE TO RULE OUT OTHER CONDITIONS. * Hepatobiliary scanning Hepatobiliary (hydroxy iminodiacetic acid [HIDA]) scanning may have some use in determining which patients with right upper quadrant pain, a lack of gallstones, and no other etiology may benefit from cholecystectomy. After the gallbladder fills with the radioisotope, a cholecystokinin analog is administered. This analog stimulates emptying of the gallbladder, allowing an ejection fraction to be calculated. A gallbladder ejection fraction of less than 35% is considered abnormal and suggests that a patient with the appropriate symptom complex may benefit from laparoscopic cholecystectomy. Administration of the analog also may recreate the pain experienced by the patient.
TYPENOTES
Medical Care: No effective medical treatment for acalculous cholecystopathy exists. Surgical Care: " Laparoscopic cholecystectomy is indicated for the treatment of biliary dyskinesia after all of the other conditions in the differential diagnosis have been ruled out with a reasonable degree of certainty. The procedure usually is performed as an outpatient operation. " Intraoperative cholangiography is performed at the discretion of the operating surgeon. Diet: No specific dietary restrictions are applicable. Avoiding foods that exacerbate symptoms, typically fatty or spicy foods, temporarily may diminish some of the symptoms. Activity: No restrictions on activity are applicable.
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
ULTRA SOUND WHOLE ABDOMEN - FEMALE, COMPLETE BLOOD COUNT, ENDOSCOPY UPPER G.I., H. PYLORI BREATH TEST( UREA BREATH TEST), CT SCAN ABDOMEN, LIVER FUNCTION TEST