It is still unknown why the patient experienced such a dramatic decrease in symptoms following the removal of her gallbladder. One of the theories discussed was that instead of acid reflux, the patient was possibly experiencing an alkalytic bilary reflux, potentially explaining the lack of this patient's response to treatment with antacids and proton pump inhibitors.

Thanks to all for the discussions and unique perspectives presented to us at the conference. Being that my experience is primarily in the field of prehospital care/emergency medial services, curriculum is being developed for a continuing education class for prehospital providers (First Responders, EMTs, & Paramedics) on VCD. In addition, we will possibly be writing an article on VCD for EMS publications. If you are interested in obtaining a copy of the curriculum, having it presented for first responders in your area, or contributing to a journal article on VCD focused for EMS providers/first responders, please contact [ ]
If other healthcare providers/SLP's are exploring or have explored the potential of a link between cholecystitis/gallbladder malfunction and VCD in other patients, we would be interested to hear about your findings. Please contact [ ]