Volume 1 ; Issue 1 ; in Month : Jan-Dec (2019) Article No : 103
Elmore H, Avery D, Josephat F, et al.

Abstract

Biliary Dyskinesia (BD) is a disorder of the gallbladder that is characterized by inflammation, abnormal contraction and emptying of the gallbladder, and failure of proper movement of the Sphincter of Oddi, which results in reduced emptying of the gallbladder. Symptoms include nausea, vomiting, upper right quadrant pain, and lower abdominal cramping. Because these symptoms are common among a number of disorders, proper diagnosis is difficult, and diagnosis becomes even more difficult since the two diagnostic tests that can detect BD can only be administered upon a physician’s suspicion. Methods: Therefore, this study was conducted to survey BD sufferers in order to identify common symptoms, age of onset, and efficacy of treatment. The survey was administered in person and respondents were informed that the results would be compiled, analysed and submitted for publication. Results: Our study showed that the average age of onset is 15 and that patients suffered an average of 4 years before a proper diagnosis was rendered. BD sufferers shared common symptoms which consisted of nausea, lower abdominal cramping, upper quadrant pain, loss of appetite, bloating, and extreme pain after eating. BD was often misdiagnosed or overlooked, and the only test that provided the correct diagnosis in each case was the CCK-HIDA test. The most common prescribed treatment was cholecystectomy and it only provided partial relief. Conclusion: Thus, a teenager that complains about nausea, lower abdominal cramping, upper quadrant pain, loss of appetite, bloating and extreme pain after eating should first be tested with the CCK-HIDA test in order to rule out BD and to avoid years of needless pain.

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