Scintigraphic investigation of bilio-intestinal anastomoses using 99mTc-(2,6-diethylacetanilide)-iminodiacetic acid (99Tc-HIDA).
Hepatobiliary scintigraphy was performed in 30 normals and 22 patients who had a bilio-intestinal anastomosis. The patient group included 12 without symptoms and 10 with upper abdominal symptoms. All the anastomoses studied were visualized and persisting dilatation of the bile ducts was recognized in 10/12 and 7/10, respectively. Mean time for bile duct and gut visualization was significantly lower in normals as compared with both patient groups. There were no differences of any statistical significance between the two patient groups. One patient with clinical suspicion of bile leakage from the anastomosis was confirmed. Patients with stricture of the anastomosis did not have characteristics which would distinguish them from patients in well-being. It is concluded that 99mTc-HIDA scintigraphy has a low sensitivity when used to disclose the causes of symptom giving malfunction of bilio-intestinal anastomoses. The exception to this is patients with bile leakage into the peritoneal cavity, in whom scintigraphy is the only non-invasive method which can reveal the condition.
D000328:Adult; D000368:Aged; D003135:Common Bile Duct / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D007098:Imino Acids; D007421:Intestine, Small / Q000000981:diagnostic imaging* / Q000601:surgery; D008099:Liver / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D013667:Technetium; D019780:Technetium Tc 99m Lidofenin
D007098:Imino Acids; D019780:Technetium Tc 99m Lidofenin; D013667:Technetium