An additional test is the radionuclide scan, commonly called a HIDA scan. This test is usually done to look for evidence of acute cholecystitis. In this case, the cystic duct is blocked by a stone or inflammation. This prevents flow of bile in or out of the gallbladder. The test involves intravenous injection of a very small amount of a radioactive substance or radionuclide. The substance is then excreted by the liver into the bile. In normal circumstances the gallbladder will fill with the radionuclide. A gamma camera is used to visualize the gallbladder and bile ducts. If the gallbladder is visualized, the test is considered to be normal. If the gallbladder is not seen, a diagnosis of acute cholecystitis may be made. A variant of this test is also used in certain patients who have symptoms suggestive of gallbladder disease, but no evidence of gallstones. In this test, called a CCK-HIDA scan, the HIDA scan is done as described above. After the gallbladder is visualized, the hormone cholecystokinin (CCK) is given to cause the gallbladder to contract. By using a computer attached to the gamma camera, the amount of radionuclide ejected from the gallbladder after stimulation with CCK can be calculated and reported. If the "ejection fraction" is very small, one may predict that removal of the gallbladder will relieve the patient's symptoms.
When should the gallb
1 comment:
you need to have surgery if the doctor says so. no putting it off just do it. they probably will do the scope and you can be bacl on the job in 2 wks.
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