[Investigation of biliodigestive anastomosis with the help of radiopharmaceutical products].
Hepatobiliary investigation using 99mTc-diethyl-iminodiacetic acid (IDA) has permitted a new point of view about the morphological and functional investigation of the biliary-digestive anastomosis. Our clinical study concerning 31 patients (13 choledochoduodenostomies 10 hepaticojejunostomies, 6 choledochojejunostomies and 2 cholecystojejunostomies) helped to specify scintigraphic imaging (stasis in intrahepatic bile duct, reflux in stomach, strangulation phenomenon on the level of the mesocolon, incomplete or complete obstruction). The problems associated with current diagnostic procedures are discussed and we place the scintigraphic method amongst other radiologic methods (barium meal, endoscopic retrograde cholangiography and percutaneous transhepatic cholangiography). This non-invasive diagonostic procedure plays a leading part in the investigation of the biliary digestive anastomosis, and particularly in the hepatico-jejunostomies.
D001652:Bile Ducts / Q000000981:diagnostic imaging / Q000601:surgery*; D004386:Duodenum / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007098:Imino Acids; D007583:Jejunum / Q000000981:diagnostic imaging / Q000601:surgery*; D008099:Liver / Q000000981:diagnostic imaging / Q000601:surgery*; D011877:Radionuclide Imaging; D013667:Technetium; D019784:Technetium Tc 99m Diethyl-iminodiacetic Acid
D007098:Imino Acids; D019784:Technetium Tc 99m Diethyl-iminodiacetic Acid; D013667:Technetium
Exploration des anastomoses bilio-digestives à l'aide des produits radiopharmaceutiques.