SCINTIGRAPHIC EVALUATION OF BILE DYNAMICS BEFORE AND AFTER ENDOSCOPIC SPHINCTEROTOMY

被引：12

作者：

CHANDRAMOULI, B

GUPTA, SM

COHEN, GE

机构：

[1] DANBURY HOSP,DIV NUCL MED,DANBURY,CT 06810

[2] DANBURY HOSP,DIV GASTROENTEROL,DANBURY,CT

[3] UNIV CONNECTICUT,CTR HLTH,DEPT NUCL MED,FARMINGTON,CT 06032

来源：

CLINICAL NUCLEAR MEDICINE | 1994年 / 19卷 / 09期

关键词：

D O I：

10.1097/00003072-199409000-00012

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 [临床医学]; 100207 [影像医学与核医学]; 1009 [特种医学];

摘要：

Endoscopic sphincterotomy has been used for the treatment of many biliary disorders, including extraction of obstructing common bile duct stones. Manometric studies of the sphincter of Oddi and the common bile duct have shown a marked decrease in biliary tract pressures after sphincterotomy. A prospective study of 12 patients with intact gallbladders using hepatobiliary imaging before and after sphincterotomy was performed to assess changes in bile dynamics. Nonfilling of the gallbladder occurred in 9 of the 12 patients after sphincterotomy, indicating significant alteration of bile flow. Such changes in bile dynamics may have serious implications in patients selected for medical dissolution of gallstones. It may also adversely affect specificity of cholescintigraphy in diagnosing acute cholecystitis.

引用

页码：800 / 802

页数：3

共 11 条

[1]

CHRISTENSEN J, 1983, GUIDE GASTROINTESTIN, P188

[2]

GALL-BLADDER FUNCTION AFTER ENDOSCOPIC SPHINCTEROTOMY [J].