Role of biliary scintigraphy in management of bile leak.
Artículo
en Inglés
| IMSEAR
| ID: sea-63569
ABSTRACT
BACKGROUND:
Endoscopic biliary drainage is effective in the management of patients with postoperative bile leak. Evidently, it cannot be used in patients with completely tied-off common bile duct (CBD).AIM:
To ascertain whether biliary excretion scintigraphy could reliably detect patients with tied-off CBD so that endoscopic retrograde cholangiography (ERC), an invasive test, could be avoided.METHODS:
Twelve patients with active bile leak (11 postcholecystectomy, one posttraumatic), in whom the biliary system was imaged by both 99m technetium mebrofenin biliary scintigraphy and ERC, were evaluated.RESULTS:
Bile leak was demonstrated in all the 12 patients by scintigraphy. In six of these, there was no visualization of radionuclide activity in the intestines; in three of these six patients, ERC showed a patent CBD potentially amenable to endoscopic drainage, whereas in the remaining three, there was complete obstruction presumably due to CBD tie-off during surgery.CONCLUSION:
Biliary excretion scintigraphy is unreliable for detecting complete biliary obstruction in patients with bile leak.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Complicaciones Posoperatorias
/
Bilis
/
Femenino
/
Humanos
/
Masculino
/
Compuestos de Organotecnecio
/
Colestasis
/
Estudios Prospectivos
/
Fístula Biliar
/
Colangiopancreatografia Retrógrada Endoscópica
Tipo de estudio:
Estudio observacional
Idioma:
Inglés
Año:
1997
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS