To the Editor:Often patients who present with right upper quadrant abdominal pain may have biliary disease,such as biliary colic,acute cholecystitis,cholelithiasis,or choledocholithiasis.Other diagnoses include biliar...To the Editor:Often patients who present with right upper quadrant abdominal pain may have biliary disease,such as biliary colic,acute cholecystitis,cholelithiasis,or choledocholithiasis.Other diagnoses include biliary dyskinesia[gallbladder ejection fraction(EF)<35%][1],as well as biliary hyperkinesia(EF>80%),which is a less established diagnosis.Although the pathophysiology of biliary dyskinesia has a significant amount of evidence supporting surgical intervention,biliary hyperkinesia has not been investigated extensively.展开更多
文摘To the Editor:Often patients who present with right upper quadrant abdominal pain may have biliary disease,such as biliary colic,acute cholecystitis,cholelithiasis,or choledocholithiasis.Other diagnoses include biliary dyskinesia[gallbladder ejection fraction(EF)<35%][1],as well as biliary hyperkinesia(EF>80%),which is a less established diagnosis.Although the pathophysiology of biliary dyskinesia has a significant amount of evidence supporting surgical intervention,biliary hyperkinesia has not been investigated extensively.
