Hepatocholescintigraphy in diagnosis of functional state of biliodigestive anastomoses
https://doi.org/10.16931/1995-5464.2019153-60
Abstract
Aim. To identify diagnostic value of hepatocholescintigraphy for evaluation of functional state of biliodigestive anastomoses (BDA).
Material and methods. 99mTc-IDA hepatocholescintigraphy was applied in 52 patients to evaluate function of biliodigestive anastomoses.
Results. Scintigraphic signs of “bowel-anastomosis” and/or “BDA-intrahepatic bile ducts” reflux were revealed in 14 (27%) cases. Obstruction of biliodigestive anastomosis occurred in 3 (5.7%) patients. Normal bile flow through BDA was observed in 10 (19.2%) patients, impaired passage – in 21 (40.3%) cases. Tracer delay in intrahepatic bile ducts was noted in 21 (25.0%) cases, signs of adhesive process near deferent bowel – in 3 (3.8%) cases.
Conclusion. Hepatocholescintigraphy is highly effective method to assess biliary tract in patients after Roux-en-Y biliodigestive anastomoses formation.
About the Authors
Yu. V. Kulezneva
Loginov Moscow Clinical Scientific Center, Moscow Department of Health
Russian Federation
Russian Federation
Yulia V. Kulezneva – Doct. of Med. Sci., Professor of the Chair of Surgical Diseases №2 of the Evdokimov Moscow State University of Medicine and Dentistry, Head of the Department of X-ray Diagnosis and Treatment of the Loginov Moscow Clinical Scientific Center.
86, Shosse Entuziastov, Moscow, 111123.
L. V. Bondar
Loginov Moscow Clinical Scientific Center, Moscow Department of Health
Russian Federation
Russian Federation
Larisa V. Bondar – Cand. of Med. Sci., Radiologist of the Radioisotope Laboratory.
86, Shosse Enthusiastov, Moscow, 111123. Phone: +7-903-195-11-81.
E. A. Vasina
Loginov Moscow Clinical Scientific Center, Moscow Department of Health
Russian Federation
Russian Federation
Ekaterina A. Vasina – Resident.
86, Shosse Entuziastov, Moscow, 111123.
M. B. Boboeva
Loginov Moscow Clinical Scientific Center, Moscow Department of Health
Russian Federation
Russian Federation
Makhina B. Boboeva – Resident.
86, Shosse Entuziastov, Moscow, 111123.
P. M. Cholak
Loginov Moscow Clinical Scientific Center, Moscow Department of Health
Russian Federation
Russian Federation
Peter M. Cholak – Radiologist of the Radioisotope Laboratory.
86, Shosse Entuziastov, Moscow, 111123.
I. V. Patrushev
Loginov Moscow Clinical Scientific Center, Moscow Department of Health
Russian Federation
Russian Federation
Igor V. Patrushev – Resident.
86, Shosse Entuziastov, Moscow, 111123.
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For citations:
Kulezneva Yu.V., Bondar L.V., Vasina E.A., Boboeva M.B., Cholak P.M., Patrushev I.V. Hepatocholescintigraphy in diagnosis of functional state of biliodigestive anastomoses. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2019;24(1):53-60. (In Russ.) https://doi.org/10.16931/1995-5464.2019153-60
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