Hepatocholescintigraphy in diagnosis of functional state of biliodigestive anastomoses

Author:

Kulezneva Yu. V.1,Bondar L. V.1,Vasina E. A.1,Boboeva M. B.1,Cholak P. M.1,Patrushev I. V.1

Affiliation:

1. Loginov Moscow Clinical Scientific Center, Moscow Department of Health

Abstract

Aim. To identify diagnostic value of hepatocholescintigraphy for evaluation of functional state of biliodigestive anastomoses (BDA).Material and methods. 99mTc-IDA hepatocholescintigraphy was applied in 52 patients to evaluate function of biliodigestive anastomoses.Results. Scintigraphic signs of “bowel-anastomosis” and/or “BDA-intrahepatic bile ducts” reflux were revealed in 14 (27%) cases. Obstruction of biliodigestive anastomosis occurred in 3 (5.7%) patients. Normal bile flow through BDA was observed in 10 (19.2%) patients, impaired passage – in 21 (40.3%) cases. Tracer delay in intrahepatic bile ducts was noted in 21 (25.0%) cases, signs of adhesive process near deferent bowel – in 3 (3.8%) cases.Conclusion. Hepatocholescintigraphy is highly effective method to assess biliary tract in patients after Roux-en-Y biliodigestive anastomoses formation.

Publisher

Annals of Surgical Hepatology

Subject

Gastroenterology,Hepatology,Surgery

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