Scintigraphic evaluation of bile dynamics before and after endoscopic sphincterotomy.
Endoscopic sphincterotomy has been used for the treatment of many biliary disorders, including extraction of obstructing common bile duct stones. Manometric studies of the sphincter of Oddi and the common bile duct have shown a marked decrease in biliary tract pressures after sphincterotomy. A prospective study of 12 patients with intact gallbladders using hepatobiliary imaging before and after sphincterotomy was performed to assess changes in bile dynamics. Nonfilling of the gallbladder occurred in 9 of the 12 patients after sphincterotomy, indicating significant alteration of bile flow. Such changes in bile dynamics may have serious implications in patients selected for medical dissolution of gallstones. It may also adversely affect specificity of cholescintigraphy in diagnosing acute cholecystitis.
Chandramouli
B
B
Division of Nuclear Medicine, Danbury Hospital, CT 06810.
Gupta
S M
SM
Cohen
G E
GE
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001646:Bile / Q000000981:diagnostic imaging* / Q000502:physiology*; D002764:Cholecystitis / Q000000981:diagnostic imaging; D002769:Cholelithiasis / Q000601:surgery; D001651:Cholestasis, Extrahepatic / Q000601:surgery; D003135:Common Bile Duct / Q000000981:diagnostic imaging*; D003137:Common Bile Duct Diseases / Q000601:surgery; D005260:Female; D005704:Gallbladder / Q000000981:diagnostic imaging*; D042882:Gallstones / Q000601:surgery; D006801:Humans; D007098:Imino Acids; D008297:Male; D008875:Middle Aged; D015609:Organotechnetium Compounds; D011312:Pressure; D011446:Prospective Studies; D011877:Radionuclide Imaging; D009803:Sphincter of Oddi / Q000000981:diagnostic imaging; D016717:Sphincterotomy, Endoscopic; D019785:Technetium Tc 99m Disofenin
D007098:Imino Acids; D015609:Organotechnetium Compounds; D019785:Technetium Tc 99m Disofenin