Evaluation of the postoperative patient with 99mTc-IDA cholescintigraphy

Weissmann, Heidi S.; Gliedman, Marvin L.; Wilk, Peter J.; Sugarman, Leroy A.; Badia, John; Guglielmo, Karen; Freeman, Leonărd M.

doi:10.1016/s0001-2998(82)80027-5

Cited by 43 publications

(4 citation statements)

References 44 publications

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“…Presence of air or reflux of barium into the biliary tree demonstrated during an upper gastro-intestinal series is not conclusive evidence of good anastomotic function in patients with choledochoduodenostomy. These are indirect signs by a non-physiologic procedure that require retrograde flow of contrast 7 Endoscopic retrograde cholangiography can be performed only in patients who have had anastomoses to the duodenum. This is an invasive technique with a possible risk of cholangitis and is best not used as a follow-up method.…”

Section: Discussionmentioning

confidence: 99%

Hida Scan in The Follow‐Up of Biliary‐Enteric Anastomoses

Belli

Romano

et al. 1988

HPB Surgery

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In order to assess the patency and function of biliary-enteric anastomoses performed in our Department of Surgery, 21 patients entered the following study, provided an informed consent was obtained. All the patients were affected by benign biliary tract diseases and underwent either Roux-en-Y hepaticojejunostomy (11 cases), or side-to-side choledochoduodenostomy (10 cases). The 21 patients were evaluated with Tc-99m-HIDA scanning at intervals of 20 days-36 months after the surgical procedure (mean 14 months). The images were obtained after intravenous injection of the radioactive medium (5 mCi) and the scans were taken at min (1 frame/s), 3 min (1 frame/10s), and 56 min (1 frame/2 min). The data were analyzed by a Digital PDP 11/34 Computer System. This method allowed us to assess each individual patient for the patency of the anastomosis and, by computer analysis, to build up a profile of the timing of the passage of the radioactive medium through the anastomosis; a delayed passage across the anastomosis was always pathological.In conclusion, the 99m-Tc-HIDA scanning used in our study for long-term follow-up of biliary-enteric anastomoses is reliable and allows an assessment of prognosis.

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Section: Discussionmentioning

confidence: 99%

Hida Scan in The Follow‐Up of Biliary‐Enteric Anastomoses

Belli

Romano

et al. 1988

HPB Surgery

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“…HBS has been used for the diagnosis of bile leaks after open cholecystectomy, [68][69][70] laparoscopic cholecystectomy, 68,[71][72][73][74][75] and liver transplantation (Fig. 8).…”

Section: Bile Leaksmentioning

confidence: 99%

“…The accuracy of HBS for the detection of bile leaks after open or laparoscopic cholecystectomy is high. [68][69][70][71][72][73][74][75] In a study of 25 laparoscopic cholecystectomy patients, 73 the sensitivity, specificity, and accuracy of HBS was 100%. Brugge et al 71 found an accuracy of 83 to 87% (depending on aggressiveness of interpretation) in 30 patients.…”

Section: Found That 15 Of 25 Open Cholecystectomy Patients Had a Fluimentioning

confidence: 99%

Radionuclide Imaging of Hepatic and Biliary Disease

Lin¹,

Kuni²

2001

Semin Liver Dis

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“…12 Among them, hepatobiliary scintigraphy has proven a valuable procedure as it provides a sensitive noninvasive assessment of bile leakage, ductal obstruction and complications. [6][7][8][9] Weissmann et al 13 reported that ssmTc -IDA imaging is a simple, noninvasive way to detect the presence of a bile leak following cholecystectomy. Pasmans et als reported the role of ssmTc-HIDA cholescintigraphy in diagnosing bile leakage after laparoscopic cholecystectomy.…”

Section: Case Reportmentioning

confidence: 99%

Bile leakage after laparoscopic cholecystectomy demonstrated with99mTc-PMT hepatobiliary scintigraphy

Oshima

Yasukochi

1993

Ann Nucl Med

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A 41-year-old woman underwent laparoscopic cholecystectomy for the treatment of gallstone and adenomyomatosis. One month after laparoscopic cholecystectomy, hepatobiliary scintigraphy was performed with 99mTc-Sn-N-pyridoxyl-5-methyltryptophan (PMT) to evaluate the presence of a bile leak and/or other complication. A biliary extravasation was noted in the left upper quadrant within 60 minutes. At five hours post injection, a progressive accumulation of 99mTc-PMT was noted in the lesser sac, the right and left paracolic gutter and in the pouch of Douglas. A diagnosis of biliary leakage was made. The patient underwent exploratory laparotomy to repair the leak from the cystic duct stump.

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Evaluation of the postoperative patient with 99mTc-IDA cholescintigraphy

Cited by 43 publications

References 44 publications

Hida Scan in The Follow‐Up of Biliary‐Enteric Anastomoses

Hida Scan in The Follow‐Up of Biliary‐Enteric Anastomoses

Radionuclide Imaging of Hepatic and Biliary Disease

Bile leakage after laparoscopic cholecystectomy demonstrated with99mTc-PMT hepatobiliary scintigraphy

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