{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T05:18:11Z","timestamp":1792819091200,"version":"4.5.0"},"reference-count":12,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T00:00:00Z","timestamp":1744934400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hyperkinetic and hypokinetic biliary dyskinesia commonly present with right upper quadrant pain, mimicking biliary colic or cholecystitis. Only gallbladder hypokinesia is a well-accepted indication for cholecystectomy. While there is less literature on the topic, patients with gallbladder hyperkinesia may also benefit from cholecystectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single-center cross-sectional study looked at patients 18\u00a0years or older, with EF &gt;80% on HIDA scan who underwent cholecystectomy and at least one postoperative visit from January 1, 2018, to February 28, 2023. The primary outcome was symptomatic resolution or improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 67 patients were identified, with a median age of 46\u00a0years, 75% female sex, and a median 30-day follow-up period. All patients presented with abdominal pain, 64% presented with nausea and vomiting, and 31% presented with chronic diarrhea. Partial symptomatic improvement was noted in 94% of patients, while 85% had complete resolution. There was a statistically significant difference in gallbladder ejection fraction between 2 groups: 94% (IQR 90-98%) for those with complete symptom resolution vs 88% (IQR 83-97%) for those who did not have symptom resolution (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.033). Chronic cholecystitis was demonstrated in 73% of specimens.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This data adds to a body of evidence supporting laparoscopic cholecystectomy for gallbladder hyperkinesia. The study further establishes a higher degree of gallbladder ejection fraction to have an association with complete symptomatic improvement after cholecystectomy. A patient\u2019s presenting symptoms do not appear to have an association with complete symptom resolution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348251337143","type":"journal-article","created":{"date-parts":[[2025,4,19]],"date-time":"2025-04-19T07:20:33Z","timestamp":1745047233000},"page":"1336-1340","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Community Hospital Experience With Cholecystectomy for Gallbladder Hyperkinesia: A Single-Center Cross-Sectional Study"],"prefix":"10.1177","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3201-0348","authenticated-orcid":false,"given":"Grant B.","family":"Hubbard","sequence":"first","affiliation":[{"name":"Department of General Surgery, Western Reserve Hospital, Cuyahoga Falls, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan M.","family":"Prusko","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Western Reserve Hospital, Cuyahoga Falls, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert D.","family":"Nerad","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Western Reserve Hospital, Cuyahoga Falls, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"McNinch","sequence":"additional","affiliation":[{"name":"McNinch Biostats, LLC, Kent, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Asubeng-Poku","sequence":"additional","affiliation":[{"name":"Ohio University Heritage College of Osteopathic Medicine, Warrensville Heights, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire M.","family":"Hubert","sequence":"additional","affiliation":[{"name":"A.T. Still University College of Osteopathic Medicine, Kirksville, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corey J.","family":"Sievers","sequence":"additional","affiliation":[{"name":"Department of Medicine, Western Reserve Hospital, Cuyahoga Falls, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rick A.","family":"Gemma","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Western Reserve Hospital, Cuyahoga Falls, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,18]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/000313481307900920"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.02.033"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.29778"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-07757-4"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12328-021-01463-x"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.11.008"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6435-2"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/00031348211023390"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0003134820966283"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2005.11.063"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.epsc.2013.08.010"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-010-1342-4"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251337143","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348251337143","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251337143","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:38Z","timestamp":1777379858000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348251337143"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,18]]},"references-count":12,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1177\/00031348251337143"],"URL":"https:\/\/doi.org\/10.1177\/00031348251337143","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,18]]}}}