Hi
right/middle abdominal pain and gas,
Endoscopy:Normal,Hpylori -ve, Blood test albumin on lower side
Abdominal U/S
Liver normal size,homogenous but increased echogenicity.consistent with Fatty Liver.gallbladder,biliary system, spleen,pancreas,kidneys,aorta and IVC are normal.No free fluid seen
(HIDA Scan)
Following IV administration of 5.2 mCi of Tc-99m Choletec,serial dynamic images of abdomen acquired in anterior projection at 2 min/frame for a total of 51 min. 1.1 microgm of CCK was infused IV and on imaging Gallbladder ejection fraction was estimated and from region of interest analysis
Normal hepatic tracer uptake seen excretion of tracer into the biliary system with visualization of the gallbladder Subsequently, tracer is identified within the deodenum and small bowel.gallbladder ejection fraction 13% is low
1.Normal hepatobiliary scintigram without evidence of cholecystitis
2.Gallbladder ejection fraction of 13% may be indicative of gallbladder dyskinesia
Was diagnosed PCOS, but currently no medication, insulin is 5.6, fasting sugar around 85-95, weight 127 lb lost 10 lbs in 6months
Dr can you please advice,
1. What is your conclusion based on the above results
2.Is the above results 100% conclusive of Gall bladder dyskinesia? based on the flow rate can we associate how severe it is?
3.Can the above results rule out other problems like SOD or Biliary duct or Biliary diskinesia? if yes how
4.Is the only treatment for this removal of Gall bladder?
5.I have seen lot of posts on PCS(post cholecystectomy syndrome) and it makes me wonder if it this is the best option?
6.What other alternate do i have?
7.Can it be that the Fatty liver is crushing on the Gallbladder and causing the trouble and can improving Liver health help with my situation?
8.If i postpone doing the surgery, what are my risks? since i have this condition am i more prone for infections of gall bladder and can it be fatal?
Request a quick response
Thanks
Smi