BILE-FLOW ANALYSIS BY HEPATOBILIARY SCINTIGRAPHY IN THE TERMINAL BILE-DUCT IN PATIENTS WITH CONGENITAL-MALFORMATIONS OF THE PANCREATICOBILIARY DUCTAL SYSTEM

被引：12

作者：

FUJII, H

MATSUMOTO, Y

YAMAMOTO, M

MIURA, K

MATSUDA, M

SUGAHARA, K

机构：

[1] First Department of Surgery, Yamanashi Medical College, Yamanashi

来源：

GASTROENTEROLOGIA JAPONICA | 1991年 / 26卷 / 02期

关键词：

ANOMALOUS ARRANGEMENT OF THE PANCREATICOBILIARY DUCTAL SYSTEM; BILE STASIS; CONGENITAL CYSTIC DILATION OF THE COMMON BILE DUCT; HEPATOBILIARY SCINTIGRAPHY;

D O I：

10.1007/BF02811081

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The authers employed hepatobiliary scintigraphy (HBS), to study a dynamic state of bile stasis in the common bile duct and bile flow through the papilla of Vater in patients with congenital malformations of the pancreatico-biliary ductal system, such as congenital cystic dilatation of the common bile duct (CCDB) and anomalous arrangement of the pancreatico-biliary ductal system (AAPB). The HBS data were evaluated by a cholestatic index (CI), as an indicator of bile stasis in the common bile duct, and passage time (PT), as an indicator of bile flow through the papilla of Vater. CI was significantly higher in CCDB (3.67 +/- 0.92), in AAPB (2.87 +/- 0.28) and in both CCDB and AAPB with symptoms (2.86 +/- 0.59), compared with patients without CCDB or AAPB (0.96 +/- 0.41). PT was prolonged only in patients with AAPB with/without CCDB (> 30 minutes) compared to patients without AAPB (< 12 minutes). This result suggested that bile stasis in the common bile duct was caused by a pooling of bile in CCDB, and by a disturbance of bile flow through the papilla of Vater in AAPB.

引用

页码：201 / 208

页数：8

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