Biliary pain in postcholecystectomy patients without biliary obstruction. A prospective radionuclide study.
Biliary pain without obvious biliary obstruction is common in postcholecystectomy patients. We studied 20 symptomatic patients with episodes of biliary-type pain after cholecystectomy (all having undergone endoscopic retrograde cholangiography), and in 18 asymptomatic postcholecystectomy controls. We performed quantitative hepatobiliary radionuclide analysis with dimethyl-imidodiacetic acid. From a series of 90 dynamic images at 1-min intervals using a gamma camera coupled to a computer, time-activity curves were produced in regions of interest in the liver, intrahepatic biliary tree, common duct, and heart, from which quantitative biliary excretion indexes were obtained. The results demonstrate a biliary kinetic dysfunction in patients with postcholecystectomy pain without morphological abnormalities.
Grimon
G
G
Department of Nuclear Medicine, Bicetre Hospital, Le Kremlin-Bicetre, France.
Buffet
C
C
André
L
L
Etienne
J P
JP
Desgrez
A
A
D015746:Abdominal Pain / Q000000981:diagnostic imaging* / Q000209:etiology; D001657:Biliary Dyskinesia / Q000150:complications / Q000000981:diagnostic imaging*; D002763:Cholecystectomy; D002779:Cholestasis; D006801:Humans; D007098:Imino Acids; D008875:Middle Aged; D015609:Organotechnetium Compounds; D011877:Radionuclide Imaging; D009803:Sphincter of Oddi / Q000000981:diagnostic imaging / Q000503:physiopathology*; D019780:Technetium Tc 99m Lidofenin; D013997:Time Factors
D007098:Imino Acids; D015609:Organotechnetium Compounds; D019780:Technetium Tc 99m Lidofenin