View source for Biliary dyskinesia

'''Biliary dyskinesia''' is a hypomotility disorder of the biliary tract. It is an indication for cholecystectomy.<ref name=pmid26670710>{{Cite journal  | last1 = Jones | first1 = PM. | last2 = Rosenman | first2 = MB. | last3 = Pfefferkorn | first3 = MD. | last4 = Rescorla | first4 = FJ. | last5 = Bennett | first5 = WE. | title = Gallbladder Ejection Fraction Is Unrelated to Gallbladder Pathology in Children and Adolescents. | journal = J Pediatr Gastroenterol Nutr | volume = 63 | issue = 1 | pages = 71-5 | month = Jul | year = 2016 | doi = 10.1097/MPG.0000000000001065 | PMID = 26670710 }}</ref>

==General==
*[[Clinical diagnosis]] - based on radiology.
*Definition: ''gallbladder ejection fraction'' (GBEF) <35%.<ref name=pmid26670710/>

Symptoms:
*Chronic abdominal pain.<ref name=pmid10359196/>

Clinical DDx:
*[[Gastroesophageal reflux disease]].<ref name=pmid21706177>{{Cite journal  | last1 = Karnsakul | first1 = W. | last2 = Vaughan | first2 = R. | last3 = Kumar | first3 = T. | last4 = Gillespie | first4 = S. | last5 = Skitarelic | first5 = K. | title = Evaluation of gastrointestinal pathology and treatment in children with suspected biliary dyskinesia. | journal = Pediatr Surg Int | volume = 27 | issue = 12 | pages = 1307-12 | month = Dec | year = 2011 | doi = 10.1007/s00383-011-2941-1 | PMID = 21706177 }}</ref>

==Microscopic==
Features:
*Non-specific findings<ref name=pmid26670710/> or features of [[chronic cholecystitis]]<ref name=pmid10359196>{{Cite journal  | last1 = Dumont | first1 = RC. | last2 = Caniano | first2 = DA. | title = Hypokinetic gallbladder disease: a cause of chronic abdominal pain in children and adolescents. | journal = J Pediatr Surg | volume = 34 | issue = 5 | pages = 858-61; discussion 861-2 | month = May | year = 1999 | doi =  | PMID = 10359196 }}</ref> - dependent on study.

DDx:
*[[Chronic cholecystitis]].

==Sign out==
<pre>
Gallbladder, Cholecystectomy: 
     - Gallbladder with mild chronic inflammation without entrapped 
       epithelial crypts.

Comment:
The clinical finding of biliary dyskinesia is noted.
</pre>

==See also==
*[[Gallbladder]].

==References==
{{Reflist|1}}

[[Category:Diagnosis]]