In a recent commentary from Gastroenterology & Endoscopy News (http://www.gastroendonews.com), Moshe Schein reviews a recent study regarding biliary dyskinesia (BD) (Am J Surg 2015; 209: 799-803) which highlights that almost 20% of cholecystectomies in the U.S. are for noncalculous disease.
- The number of cholecystectomies for BD increased from 43.3 to 89.1 per 1 million between 1991-2011.
- BD is “almost unheard of” in all other parts of the world. “The majority of surgeons practicing outside the United States maintain that BD is a myth…Measuring gallbladder ejection fraction is something that they never do.”
My take: this is an area in need of a large randomized controlled trial. Perhaps biliary dyskinesia will share the same fate as sphincter of Oddi dysfunction.
Related blog posts:
- When A Disease Turns Out to Be Fictitious -The Sad Story on … (sphincter of Oddi dysfunction)