I posted couple of weeks ago . I went to the Er on 3-11 & was admitted for 4 days for pancreatits with mildly elevated Lipase (28) & a -sudden- severe pain in upper right quadrant(close to breastbone) that went straight thru to the back that was excruciating after eating that night. I also have ongoing pain in my back and a 'shooting & spasiming pain ' thats tolerable for now directly in my left ribs. While I was there they did a CT scan-negative except for fatty liver, Abdominal Ultrasound -negative ,MRCP negative,EGD negative.
I also had a Hida scan that was abnormal -Impression: prompt uptake in the gallbladder with a 18% ejection fraction: suggestive of Sphincter of Oddi Dysfunction or Gallbladder disease.I also itch sometimes where the pain areas are on my back & ribs.
My doctor said that the Gold standard for gallbladder removal is an abnormal Ultra sound & that he doesnt like to take out Gallbladders with a positive Hida Scan.He said that removing the Gallbladder would only have a very slim chance (he said 1 out of a 100) of improving my symptoms.He also said he would talk to a surgeon if I wanted him to.
Is this really the odds of improvement of Gallbladder removal with respect to my symptoms & should I ask to go ahead with the surgery.
For now, he has taken me off from work for 3 weeks & gave me pain medication & told me to eat a low fat high
Would a current negative MRCP rule out Pancreas problems & or sphincter of oddi Dysfunction.?
He did an ERCP that was normal in 2006.
What would be the -BEST -possible course of action to take at this point.