What is Biliary Hyperkinesia?

Abstract

Background: What is biliary hyperkinesia? In a patient with typical symptoms consistent with biliary colic (postprandial right upper quadrant abdominal pain, nausea, bloating), what does a provider do when no gallstones are seen on routine imaging? Nuclear medicine imaging (CCK-HIDA scan) is often ordered as a next step. What does one do if the results come back with a markedly elevated ejection fraction after CCK administration?