Predictors of successful outcome after cholecystectomy for biliary dyskinesia

Biliary dyskinesia in the pediatric patient

“…The results of the CCK-stimulated GBEF have been used to predict clinical response to surgery. Carney et al [ 24 ] suggested that a very low GBEF (< 15%) in children reliably predicted symptom resolution with cholecystectomy. However, our experience and that of others [ 25 ] have not demonstrated this variable to accurately predict symptom resolution with cholecystectomy.…”

Laparoscopic cholecystectomy for biliary dyskinesia in children provides durable symptom relief

“…Several authors have studied the effect of laparoscopic cholecystectomy in children on postoperative relief of symptoms [1,2,4,[6][7][8][9][10][11][12]; however, the data on the long-term durability of symptom relief are limited. The purpose of this study was to determine the effectiveness of laparoscopic cholecystectomy in providing long-term symptom relief in children with biliary dyskinesia.…”

Paediatric cholecystectomy: Shifting goalposts in the laparoscopic era

“…Although this was not true in our series, these children may increasingly form the bulk of the laparoscopic cholecystectomy workload, with some centres already reporting biliary dyskinesia in up to 58% of their cases [31]. Cholecystectomy is successful in curing symptoms in 79 to 100% of the cases [29][30][31], especially in those patients complaining of nausea, pain and decreased gallbladder emptying preoperatively [32]. The population with continuing symptoms may be part of a subset with sphincter of Oddi dysfunction and which is therefore unrelieved by cholecystectomy.…”