title: Comparison of gastric aspiration and HIDA scintigraphy in detecting fasting duodenogastric bile reflux.
abstract: Gastric aspiration and HIDA scintigraphy have been compared to assess duodenogastric bile reflux. Gastric aspiration was performed on two separate occasions with a total examination time of 3 h. The highest 1-h output and the highest concentration of bile acids were recorded. HIDA scintigraphy was carried out for 90 min after an injection of 60 MBq 99mTc-dimethyl-iminodiacetic acid (HIDA). Forty-six patients with different gastrointestinal disorders were studied; 24 patients were positive and 13 negative in both tests. Accordingly, the methods agreed in 37 to 46 patients (80.4%). It is concluded that gastric aspiration is as reliable as HIDA scintigraphy to assess fasting bile reflux.
authors.affiliation: Dept. of Clinical Chemistry, Karolinska Hospital, Stockholm, Sweden.
authors.forename: B
authors.initials: B
authors.lastname: Eriksson
authors.forename: S
authors.initials: S
authors.lastname: Emås
authors.forename: H
authors.initials: H
authors.lastname: Jacobsson
authors.forename: S A
authors.initials: SA
authors.lastname: Larsson
authors.forename: K
authors.initials: K
authors.lastname: Samuelsson
mesh_terms: D000328:Adult; D000368:Aged; D001647:Bile Acids and Salts / Q000032:analysis; D001655:Bile Reflux / Q000175:diagnosis*; D001660:Biliary Tract Diseases / Q000175:diagnosis*; D004386:Duodenum / Q000000981:diagnostic imaging; D005260:Female; D005750:Gastric Juice / Q000032:analysis / Q000378:metabolism*; D006801:Humans; D007098:Imino Acids; D001239:Inhalation; D008297:Male; D008875:Middle Aged; D009942:Organometallic Compounds; D011877:Radionuclide Imaging; D012119:Respiration; D019780:Technetium Tc 99m Lidofenin
chemical_list: D001647:Bile Acids and Salts; D007098:Imino Acids; D009942:Organometallic Compounds; D019780:Technetium Tc 99m Lidofenin