{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:59:31Z","timestamp":1785430771924,"version":"3.56.0"},"reference-count":13,"publisher":"Department of Medicine, Warren Alpert Medical School at Brown University","issue":"1","license":[{"start":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T00:00:00Z","timestamp":1735776000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Reduced gallbladder ejection fraction (GBEF) with normal laboratory tests and no gallstones on ultrasound can be attributed to conditions such as biliary dyskinesia, chronic acalculous cholecystitis, cystic duct syndrome, sphincter of Oddi dysfunction, and subclinical biliary stricture. We present a case of a patient with chronic right upper quadrant pain, diagnosed with reduced GBEF, normal labs, and no gallstones. The patient\u2019s symptoms resolved after endoscopic retrograde cholangiopancreatography and sphincterotomy, revealing a mild, non-obstructive stricture in the middle third of the common bile duct. This case underscores the importance of considering ERCP and sphincterotomy as diagnostic and therapeutic options before opting for cholecystectomy in patients with reduced GBEF and normal lab results, potentially avoiding unnecessary surgical interventions.<\/jats:p>","DOI":"10.56305\/001c.127836","type":"journal-article","created":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T14:57:22Z","timestamp":1738594642000},"source":"Crossref","is-referenced-by-count":2,"title":["Biliary Dyskinesia with Reduced Gallbladder Ejection Fraction: A Diagnostic and Therapeutic Shift in Management"],"prefix":"10.56305","volume":"4","author":[{"given":"Menna-Allah","family":"Elaskandrany","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0231d2y50","id-type":"ROR","asserted-by":"publisher"}],"name":"Lenox Hill Hospital","department":["Department of Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Ismail","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/014ye1258","id-type":"ROR","asserted-by":"publisher"}],"name":"Rutgers New Jersey Medical School","department":["Department of Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiyan","family":"Liu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01ckdn478","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Louisville","department":["Department of Radiology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weizheng W.","family":"Wang","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/014ye1258","id-type":"ROR","asserted-by":"publisher"}],"name":"Rutgers New Jersey Medical School","department":["Division of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"35509","published-online":{"date-parts":[[2025,1,2]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1007\/s11605-011-1742-0","article-title":"Biliary dyskinesia: how effective is cholecystectomy?","volume":"16","author":"V. 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Retrospective chart review of gallbladder ejection fraction and subsequent postoperative symptom relief, surgical pathology, and current literature review","volume":"20","author":"Y. Chu","year":"2021","journal-title":"World Journal of Nuclear Medicine"},{"issue":"3","key":"ref11","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1016\/j.amjsurg.2013.09.012","article-title":"Long-term efficacy of laparoscopic cholecystectomy for the treatment of biliary dyskinesia","volume":"207","author":"B. R. Veenstra","year":"2014","journal-title":"Am J Surg"},{"issue":"12","key":"ref12","doi-asserted-by":"publisher","first-page":"2850","DOI":"10.1007\/s10620-014-3342-9","article-title":"Cholecystectomy for biliary dyskinesia: how did we get there?","volume":"59","author":"K. Bielefeldt","year":"2014","journal-title":"Dig Dis Sci"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1016\/j.jss.2018.04.044","article-title":"Long-term results of cholecystectomy for biliary dyskinesia: outcomes and resource utilization","volume":"230","author":"S. B. Cairo","year":"2018","journal-title":"J Surg Res"}],"container-title":["Journal of Brown Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bhm.scholasticahq.com\/article\/127836-biliary-dyskinesia-with-reduced-gallbladder-ejection-fraction-a-diagnostic-and-therapeutic-shift-in-management","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,9]],"date-time":"2025-02-09T15:24:03Z","timestamp":1739114643000},"score":1,"resource":{"primary":{"URL":"https:\/\/bhm.scholasticahq.com\/article\/127836-biliary-dyskinesia-with-reduced-gallbladder-ejection-fraction-a-diagnostic-and-therapeutic-shift-in-management"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,2]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.56305\/001c.127836","relation":{},"ISSN":["2994-5593"],"issn-type":[{"value":"2994-5593","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,2]]}}}