Advanced Gallbladder Testing Can Miss Disease

Two approaches to gallbladder advanced testing – 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. – will miss 1/2 of cases

Hepatobiliary Pancreat Dis Int. 2017 Apr;16(2):197-201.
HIDA scan for functional gallbladder disorder: ensure that you know how the scan was done.
Goussous N et al
https://www.ncbi.nlm.nih.gov/pubmed/28381385

  • HIDA scan – 70 received CCK and 83 fatty meal
  • Pain reproduction in 30% fatty meal and 61% CCK   p<0.01
  • no difference in demographic factors or pain – ie you can’t tell who will fail

Comment – there is always the urge to cut costs and a fatty meal is not an adequate test so do what the article said “ensure you know how the scan was done”

 

This entry was posted in Abdominal pain, Drugs. Bookmark the permalink.

Leave a Reply

Your email address will not be published.