alexa Biliary pain in postcholecystectomy patients without biliary obstruction. A prospective radionuclide study.


Surgery: Current Research

Author(s): Grimon G, Buffet C, Andr L, Etienne JP, Desgrez A

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Abstract Biliary pain without obvious biliary obstruction is common in postcholecystectomy patients. We studied 20 symptomatic patients with episodes of biliary-type pain after cholecystectomy (all having undergone endoscopic retrograde cholangiography), and in 18 asymptomatic postcholecystectomy controls. We performed quantitative hepatobiliary radionuclide analysis with dimethyl-imidodiacetic acid. From a series of 90 dynamic images at 1-min intervals using a gamma camera coupled to a computer, time-activity curves were produced in regions of interest in the liver, intrahepatic biliary tree, common duct, and heart, from which quantitative biliary excretion indexes were obtained. The results demonstrate a biliary kinetic dysfunction in patients with postcholecystectomy pain without morphological abnormalities.
This article was published in Dig Dis Sci and referenced in Surgery: Current Research

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