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Ultrasound showing gall bladder sludge. HIDA scan showing reduced functioning of gall bladder. Need to go for surgery?

2 years ago I had an ultra sound that found gallbladder sludge . I then had a HIDA Scan done and it said that my gallbladder was functioning at 27%. I decided to try alternative treatments before surgery (Chinese medicine, supplements, etc). I had planned on having it removed in 2 weeks but decided to repeat the HIDA scan since it had been 2 years. My gallbladder is now functioning at 85%, which I understand is hyperactive. Do you have any insight as to why the rate increased substantially and if I should continue with the surgery?
Asked On : Sun, 9 Sep 2012
Answers:  1 Views:  314
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Internal Medicine Specialist 's  Response
Hi jessicagregg,
It seems you have had very different results on the HIDA scan test, but you have to understand that this test is not a perfect test, and results may vary. To do surgery just based on these results, you would need to have a function (or ejection fraction) of the gallbladder below 35% AFTER the injection of cholecystokinin.
The most important factor to consider before getting surgery is your symptoms. If you have typical gallbladder symptoms such as right upper quadrant abdominal pain & pain after meals you are more likely to benefit from surgery.
Answered: Mon, 10 Sep 2012
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