Name of the Procedure:

Injection, sincalide, 5 micrograms (J2805)

• Common Names: Sincalide Injection, Cholecystokinin Injection
• Technical Terms: Synthetic Cholecystokinin, CCK Injection

Summary

This procedure involves injecting a synthetic hormone called sincalide (cholecystokinin) to stimulate the gallbladder and pancreas. It is often used to diagnose and assess the functioning of these organs.

Purpose

• Medical Conditions: Gallbladder dysfunction, Biliary dyskinesia, Pancreatic insufficiency.
• Goals: To stimulate the gallbladder and pancreas, allowing for diagnostic imaging and assessment of function.

Indications

• Symptoms: Abdominal pain, nausea, difficulty digesting fats.
• Conditions: Suspected gallbladder or pancreatic disease.
• Criteria: Patients showing symptoms of gallbladder dysfunction or undergoing a hepatobiliary iminodiacetic acid (HIDA) scan.

Preparation

• Instructions: Patients might need to fast for 4-6 hours prior to the procedure.
• Tests: An initial imaging test like a HIDA scan may be performed to establish a baseline.

Procedure Description

• Steps:
  1. The patient lies down on an examination table.
  2. An intravenous (IV) line is inserted into a vein.
  3. The sincalide injection is administered through the IV.
  4. Monitoring and imaging (such as a HIDA scan) are performed to observe organ response.
• Tools: IV line, syringe, imaging equipment.
• Anesthesia: Typically, no anesthesia or sedation is required.

Duration

The entire procedure, including preparation and monitoring, typically takes about 1-2 hours.

Setting

The injection is administered in a hospital, outpatient clinic, or specialized diagnostic imaging center.

Personnel

• Medical staff including radiologists, nurses, and possibly a gastroenterologist.

Risks and Complications

• Common Risks: Mild nausea, abdominal cramping.
• Rare Risks: Allergic reaction, injection site infection.
• Complications Management: Symptoms typically resolve quickly; allergic reactions are managed with medication.

Benefits

• Expected Benefits: Accurate assessment of gallbladder and pancreatic function.
• Realization: Benefits are immediate as it aids prompt diagnosis and treatment planning.

Recovery

• Post-Procedure: Patients can usually return to normal activities shortly after the procedure.
• Recovery Time: Minimal; often immediate.
• Restrictions: Generally none, but follow specific post-procedure instructions provided.
• Follow-Up: As recommended by the healthcare provider.

Alternatives

• Other Options: Non-invasive imaging tests like ultrasound, magnetic resonance cholangiopancreatography (MRCP).
• Pros/Cons: Non-invasive tests might be less accurate but carry fewer risks.

Patient Experience

• During Procedure: Mild discomfort from the IV insertion, possible abdominal cramping.
• After Procedure: Any discomfort usually resolves quickly. Pain management is rarely needed due to the minimal discomfort involved.