Role of biliary scintigraphy in management of bile leak.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Complications postopératoires
/
Bile
/
Femelle
/
Humains
/
Mâle
/
Composés organiques du technétium
/
Cholestase
/
Études prospectives
/
Fistule biliaire
/
Cholangiopancréatographie rétrograde endoscopique
Type d'étude:
Étude observationnelle
langue:
Anglais
Année:
1997
Type:
Article
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