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[Quantification of duodenogastric reflux in symptomatic patients with choledochoduodenostomy using intravenous continuous perfusion of 99mTc-HIDA as duodenal marker]. 1990
J A Luján Mompean, and
R Robles Campos, and
P Parrilla Paricio, and
P Ramírez Romero, and
P Meca Jorquera, and
D Martínez Gómez, and
J L Aguayo Albasini
Hospital Universitario Virgen de la Arrixaca Murcia, Departamento de Cirugía General, Universidad de Murcia.
The purpose of the present study was to determine whether the measurement of intravenously administered 99mTc-HIDA in samples of gastric juice can be used as a reliable marker of duodenogastric reflux. Ten normal volunteers and 10 patients with a laterolateral choledocho-duodenostomy complaining of dyspepsia but no biliary pain, were given a continuous i.v. infusión of 99mTc-HIDA. The isotope concentration was then measured in samples of gastric juice. We found that duodeno-gastric reflux was significantly higher (p less than 0.001) in patients with choledochoduodenostomy and dyspepsia than in normal volunteers.
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