Document Detail


Scintigraphic investigation of bilio-intestinal anastomoses using 99mTc-(2,6-diethylacetanilide)-iminodiacetic acid (99Tc-HIDA).
MedLine Citation:
PMID:  7234278     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hepatobiliary scintigraphy was performed in 30 normals and 22 patients who had a bilio-intestinal anastomosis. The patient group included 12 without symptoms and 10 with upper abdominal symptoms. All the anastomoses studied were visualized and persisting dilatation of the bile ducts was recognized in 10/12 and 7/10, respectively. Mean time for bile duct and gut visualization was significantly lower in normals as compared with both patient groups. There were no differences of any statistical significance between the two patient groups. One patient with clinical suspicion of bile leakage from the anastomosis was confirmed. Patients with stricture of the anastomosis did not have characteristics which would distinguish them from patients in well-being. It is concluded that 99mTc-HIDA scintigraphy has a low sensitivity when used to disclose the causes of symptom giving malfunction of bilio-intestinal anastomoses. The exception to this is patients with bile leakage into the peritoneal cavity, in whom scintigraphy is the only non-invasive method which can reveal the condition.
Authors:
E Oster-Jøgensen; S A Pedersen; P B Christensen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta chirurgica Scandinavica     Volume:  147     ISSN:  0001-5482     ISO Abbreviation:  Acta Chir Scand     Publication Date:  1981  
Date Detail:
Created Date:  1981-07-20     Completed Date:  1981-07-20     Revised Date:  2009-06-30    
Medline Journal Info:
Nlm Unique ID:  7906530     Medline TA:  Acta Chir Scand     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  57-60     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Common Bile Duct / radionuclide imaging*,  surgery
Female
Humans
Imino Acids / diagnostic use*
Intestine, Small / radionuclide imaging*,  surgery
Liver / radionuclide imaging*,  surgery
Male
Middle Aged
Postoperative Complications / radionuclide imaging
Technetium / diagnostic use*
Technetium Tc 99m Lidofenin
Chemical
Reg. No./Substance:
0/Imino Acids; 0/Technetium Tc 99m Lidofenin; 7440-26-8/Technetium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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