Radionuclide imaging for evaluation of biliary tract after hepatobiliary surgery

ABSTRACT

Thirty patints with biliary enteric bypass have been evaluated with serial hepatobiliary scintigraphy for detection of any possible complication. The study included 19 females and 11 males. Their age ranged from 32 to 72 years with mean age of 51 years. Normal biliary enteric bypass was recorded in 40%, while 60% had complications [partial obstruction 20%, complete obstruction 16.6%, biliary leakage 10%, gastric reflux 6.7% ascending cholangitis 6.7%]. Ultrasound showed a sensitivity of 60% compared to 100% in Tc - 99m HIDA scintigraphy. So, HIDA scanning is a simple, non - invasive technique for follow up of biliary enteric bypass for detection of subtle deterioration of biliary drainage or serious complications as leakage or obstruction