ABSTRACT
Performance of barium duodenography at the end of transhepatic cholangiography improves visualization of the anatomy of the porta hepatis and lower common bile duct. The relationships of C loop, common the bile duct, and ampulla are clearly demonstrated. Without the barium study, the variability of the relationship between the biliary tree and the duodenum may not be appreciated. The technique is described and illustrated by four cases.
Subject(s)
Barium Sulfate , Cholangiography , Duodenum/diagnostic imaging , Aged , Biliary Tract Diseases/diagnostic imaging , Cholestasis/diagnostic imaging , Common Bile Duct/diagnostic imaging , Humans , Male , Middle Aged , Pancreatic Neoplasms/diagnostic imagingABSTRACT
A large minority of patients having cholecystostomy show cystic duct or common duct stones on postoperative tube cholangiograms. The use of mechanical (Dormia stone basket) and chemical (heparin and sodium cholate) means to remove gallstones via the cholecystostomy fistula reduces the need for additional surgery (ie, cholecystectomy), which is particularly important in poor-risk elderly patients.
Subject(s)
Gallbladder/surgery , Aged , Cholangiography , Cholecystitis/surgery , Cholelithiasis/therapy , Female , Humans , Male , Middle Aged , Postoperative ComplicationsABSTRACT
Results of a series of 2i liver scans with 131-I rose bengal in 21 patients who developed progressive jaundice in the neonatal period are described. Using the 131-I rose bengal scan alone, an attempt was made to separate the patients into two groups, the first with total bile obstruction (biliary atresia) and the second with only partial biliary tract obstruction (intrinsic liver disease). The diagnostic accuracy of the scan was 82%. An additional diagnostic criterion, the count radio, is suggested. The determination of this ratio requires no additional effort or expense and would improve the diagnostic accuracy of the scan used alone in this series of patients.
