Bile flow before and after cholecystectomy: a study with 99mTc-HIDA. 1985

J van der Linden, and V Kempi, and W van der Linden

Computer-assisted 99mTc-HIDA cholescintigraphy was performed before and after elective cholecystectomy in 24 patients. Preoperative cholecystography had shown gallstones in a well visualized gallbladder in 12 of the patients, and in 12 the gallbladder had not been visualized. Liver function tests gave normal results in all 24 patients, and peroperative cholangiography showed no common duct stones in any patient. In the series with functioning gallbladder, comparison of the preoperative and postoperative scintigrams showed that cholecystectomy was followed by significantly earlier visualization of the lower part of the common duct and of the duodenum. The number of times that passage of activity to the duodenum was observed also rose significantly. Comparison of the time-activity curves showed that after cholecystectomy the liver activity reached its maximum value significantly earlier post-injection as compared with the preoperative values. All of these changes were absent in the series with nonfunctioning gallbladder. Removal of a functioning gallbladder results in accelerated, though still irregular flow of activity to the duodenum.

UI MeSH Term Description Entries
D007098 Imino Acids Carboxylic acids that contain an imino group (C Amino Acids, Secondary,Acids, Secondary Amino,Secondary Amino Acids,Acids, Imino
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011877 Radionuclide Imaging The production of an image obtained by cameras that detect the radioactive emissions of an injected radionuclide as it has distributed differentially throughout tissues in the body. The image obtained from a moving detector is called a scan, while the image obtained from a stationary camera device is called a scintiphotograph. Gamma Camera Imaging,Radioisotope Scanning,Scanning, Radioisotope,Scintigraphy,Scintiphotography,Imaging, Gamma Camera,Imaging, Radionuclide
D002763 Cholecystectomy Surgical removal of the GALLBLADDER. Cholecystectomies
D002765 Cholecystography Radiography of the gallbladder after ingestion of a contrast medium. Cholecystographies
D002769 Cholelithiasis Presence or formation of GALLSTONES in the BILIARY TRACT, usually in the gallbladder (CHOLECYSTOLITHIASIS) or the common bile duct (CHOLEDOCHOLITHIASIS). Gallstone Disease,Cholelithiases,Gallstone Diseases
D005260 Female Females
D005704 Gallbladder A storage reservoir for BILE secretion. Gallbladder allows the delivery of bile acids at a high concentration and in a controlled manner, via the CYSTIC DUCT to the DUODENUM, for degradation of dietary lipid. Gallbladders
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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