HIDA IMAGING IN POSTCHOLECYSTECTOMY SYNDROME—CLINICAL VALUE OR ROMANCING THE STONE?

Thomas A. Ruffolo, Glen A. Lehman

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Abstract

The authors evaluated 20 patients with recurrent or persistent biliary‐type pain who had undergone prior cholecystectomy and had no evidence of recurrent stones, tumor, or chronic pancreatitis by ERCP. These patients were studied by hepatobiliary scintigraphy (HIDA) and compared to 18 asymptomatic postchole‐cystectomy controls with normal liver tests and ultrasound of the biliary tree. Sphincter of Oddi manometry was not performed. As a group, patients had evidence of slower time to maximal radionuclide activity at various sites in the liver or biliary tree and slower excretion of radionuclide, compared to controls. The authors conclude that when sphincter of Oddi dysfunction is clinically suspected, abnormal hepatobiliary scintigraphy can be used to support this diagnosis and, therefore, justify endoscopic sphineterotomy as the next step.

Original languageEnglish (US)
Pages (from-to)1092-1093
Number of pages2
JournalThe American journal of gastroenterology
Volume86
Issue number8
DOIs
StatePublished - Aug 1991

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ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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