Biliary Hyperkinesia and Its Association With Bariatric Surgery: A Case Report and Review of Management Strategies

Abstract

In a post-bariatric surgery patient with suspected biliary dyskinesia, what does an ejection fraction (EF) of 87% on hepatobiliary iminodiacetic acid (HIDA) scan indicate to a healthcare provider? Conventionally, in post-bariatric patients, the gallbladder becomes hypofunctional; however, in this case, the gallbladder activity increased exponentially. Of note, there are no previously documented cases of developing an overactive gallbladder after undergoing a bariatric surgery procedure. This report aims to explore the possible associations between bariatric surgery and the development of gallbladder hyperkinesis in the early postoperative period, the diagnostic tool used to discover the source of our patient's ailment, as well as the rationality behind a surgical procedure that led to an excellent response, namely, laparoscopic cholecystectomy.

Ursodeoxycholic Acid Prophylaxis and the Reduction of Gallstone Formation After Bariatric Surgery: An Updated Meta-Analysis of Randomized Controlled Trials

“…The rapid weight loss following bariatric surgery puts the patients at risk of gallstone formation, which can be a crucial complication [12]. Another reason for increased gallstone formation after bariatric surgery is intestinal dysfunction, leading to decreased cholecystokinin levels, which may cause gallbladder contractile dysfunction [13]. Cholecystectomy is harder after bariatric surgery because it predisposes more postoperative morbidities [12][13][14][15][16].…”