How To Gallbladder Ultrasound Part 1 Introduction Case Study Video

>> YOUR LINK HERE: ___ http://youtube.com/watch?v=7Nk_bNjbNBQ

http://www.cincinnatichildrens.org • Alexander Bondoc, MD, Pediatric Surgeon: Hi, I’m Dr. Alex Bondoc, one of the general and transplant surgeons at Cincinnati Children’s, and today I’m here to talk to you about Biliary Dyskinesia. Biliary Dyskinesia is a functional disorder of the gallbladder that is sometimes a diagnosis of exclusion that overlaps with other GI and intestinal problems such as dyspepsia or dysmotility. • Diagnostic symptoms include intense right upper quadrant pain that often peaks between 30 and 60 minutes after onset and takes several hours to resolve afterward. The pain can be associated with nausea and vomiting and diaphoresis. And often times occurs at infrequent intervals not necessarily related to any type of food intake or fasting. Importantly, the symptoms of Biliary Dyskinesia can often interrupt the activities of daily living of the patients or even lead to emergency department visits. • Biliary Dyskinesia most often affects adolescents and teenagers, but sometimes can affect younger children. The diagnostic workup of Biliary Dyskinesia includes a liver function panel including transaminase and bilirubin levels. As well as a right upper quadrant ultrasound and Cholecystokinin HIDA scan. • The definitive therapy for Biliary Dyskinesia is laparoscopic cholecystectomy. This taken in addition with risks of surgery is a very significant consideration for all families. In up to 40 percent of patients' symptoms will not resolve after cholecystectomy. As a result, I have a very frank discussion with my patients and their families about this fact. And warn them that in addition to the risks and benefits of surgery, there may be another source of their discomfort. • Postoperatively, patients are typically admitted for a 23-hour observation period to control pain and to make sure they can tolerate a diet. However, in some very limited situations when I talk about recovery preoperatively, some patients do request to go home the same day. Typically patients return to their normal state of health in approximately 2 weeks after surgery. Although patients often times will return to school or their normal activities in only several days. • If you have any questions about this topic or any others please contact us, thank you.

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