Scintigraphic Diagnosis of Bile Leakage after Laparoscopic Cholecystectomy: A Prospective Study
| Autor: | J. M. van Engelshoven, P. M. Go, G. A. Heidendal, Dirk J. Gouma, M J P G van Kroonenburgh, H. M. L. Pasmans |
|---|---|
| Přispěvatelé: | Other departments |
| Rok vydání: | 1992 |
| Předmět: |
medicine.medical_specialty
medicine.drug_class Bile obstruction Bile Duct Diseases Bile leakage digestive system Postoperative Complications Paracolic gutters Humans Medicine Cholecystectomy Radiology Nuclear Medicine and imaging Prospective Studies Radionuclide Imaging Prospective cohort study Laparoscopic cholecystectomy Abdominal discomfort Cholestasis medicine.diagnostic_test Bile acid business.industry Imino Acids General surgery Technetium Tc 99m Lidofenin Organotechnetium Compounds General Medicine Surgery medicine.anatomical_structure Cholescintigraphy Laparoscopy business |
| Zdroj: | Clinical nuclear medicine, 17(9), 697-700. Lippincott Williams and Wilkins |
| ISSN: | 0363-9762 |
| DOI: | 10.1097/00003072-199209000-00001 |
| Popis: | To assess the role of Tc-99m IDA cholescintigraphy in diagnosing bile leakage and bile obstruction after laparoscopic cholecystectomy, 51 studies were performed in 51 patients on the first postoperative day. Two different radioactive bile acid analogs were used, Tc-99m HIDA and Tc-99m trimethylbromo IDA. Scintigraphic findings were correlated with the clinical conditions. Results of seven out of 51 cholescintigrams were abnormal, showing accumulations of activity in the right paracolic gutter. Of these seven patients, only three had clinical symptoms consisting of more than normal postoperative abdominal pain and peritoneal irritation. The other four patients had minimal abnormal accumulation in the right paracolic gutter and showed no clinical signs postoperatively. Complete common bile duct obstruction or other bile duct-related complications, except for bile leakage, were not observed. Cholescintigraphy is feasible for the early detection of bile leakage and bile flow obstruction after laparoscopic cholecystectomy in patients with increased postoperative abdominal discomfort. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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