EFFICACY OF CHOLECYSTECTOMY IN PATIENTS WITH POSITIVE HIDA SCANS WITH TYPICAL OR ATYPICAL BILIARY PAIN: A RETROSPECTIVE STUDY


Efficacy of cholecystectomy in patients with positive HIDA Scans with typical or atypical biliary pain: A retrospective study


Dr Amin Tanveer MD, MSc1*(Sydney), Dr David Soon MBBS, MSc1(Edinburgh), Dr Rajavel Senthikumar Sundaramurthy MBBS, FRACS2, Dr Charles Pilgrim MBBS FRACS, PhD3, Dr Peter Evans MBBS, FRACS3

 1,2,3Department of General Surgery, Peninsula Health, PO Box 52, Frankston, 3199, Victoria, Australia


Introduction: Our investigation aimed to discover the benefits of performing cholecystectomy in patients who had a positive or negative HIDA scan result, presented with either typical or atypical biliary pain.

Methods: We performed a retrospective analysis of medical records of patients who had a HIDA scan at Peninsula Health between 2012 and 2017, those who had a HIDA scan and cholecystectomy for biliary pain were selected for this study, and prospective analysis of patient reported outcome post cholecystectomy included.

Results: In the past five years, 190 patients had had a HIDA scan to investigate biliary pain without a structural cause. Of those 190, 65 had a positive HIDA result and 20 of these patients went on to have a cholecystectomy. Of the latter, 17 who reported typical biliary pain had their pain resolved post-surgery but 2 out of 3 patients with atypical biliary pain had ongoing pain despite surgery (1 did not respond). Of the 125 patients with a negative HIDA scan, 14 proceeded with a cholecystectomy. Twelve patients had pre-operative typical biliary pain and 5 of these continued to have pain post-operatively. Finally, 1 of the 2 patients with atypical pain continued to have ongoing pain post-surgery.

Conclusion: In summary, in patients without a structural cause for biliary pain HIDA scans and patient’s symptoms greatly aid in the decision-making process whether to proceed with a cholecystectomy, as a negative scan should prompt further clinical investigation before proceeding with surgery.


Keywords: Hepatobiliary Imino Diacetic acid (HIDA) scans; Cholescintigraphy, Dysfunctional gallbladder, Cholecystectomy

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How to cite this article:

Amin Tanveer, David Soon, Rajavel Senthikumar Sundaramurthy,Charles Pilgrim, Peter Evans. Efficacy of cholecystectomy in patients with positive HIDA Scans with typical or atypical biliary pain: A retrospective study. American Journal of Surgical Research and Reviews, 2021; 4;13. DOI:10.28933/ajsrr-2021-01-1705


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