Dual-radionuclide simultaneous biliary and gastric scintigraphy to depict surgical treatment of bile reflux.
Biliary diversion procedures are performed during gastric surgery to decrease bile reflux. A 1-day dual-radionuclide examination was studied to determine its potential in the evaluation of the effectiveness of the Braun enteroenterostomy in reducing bile reflux and its effects on gastric emptying. Orally ingested gallium 67-labeled egg and intravenously administered technetium 99m diisopropyl-imino-diacetic acid were imaged simultaneously. This provided a way to depict both bile reflux and gastric emptying on the same day in patients who underwent gastric surgery. Overall, the Braun enteroenterostomy trades bile reflux, a symptomatic and premalignant disease, for gastroparesis, a less severe and often treatable disease.
Jurgens
Michael J
MJ
Department of Radiology, Shands Hospital, University of Florida, 1600 SW Archer Road, Box 100374, Gainesville, FL 32608, USA.
Drane
Walter E
WE
Vogel
Stephen B
SB
D001652:Bile Ducts / Q000000981:diagnostic imaging*; D001655:Bile Reflux / Q000000981:diagnostic imaging* / Q000209:etiology / Q000503:physiopathology; D013505:Digestive System Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D005710:Gallium Radioisotopes; D005746:Gastric Emptying; D018589:Gastroparesis / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D012189:Retrospective Studies; D013270:Stomach / Q000000981:diagnostic imaging*; D019785:Technetium Tc 99m Disofenin
D005710:Gallium Radioisotopes; D019275:Radiopharmaceuticals; D019785:Technetium Tc 99m Disofenin