1. Dual-Radionuclide Simultaneous Biliary and Gastric Scintigraphy to Depict Surgical Treatment of Bile Reflux
- Author
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Walter E. Drane, Stephen B. Vogel, and Michael J. Jurgens
- Subjects
medicine.medical_specialty ,Gastroparesis ,Gallium Radioisotopes ,Technetium Tc 99m Disofenin ,Scintigraphy ,Gastroenterology ,Bile reflux ,Internal medicine ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Derivation ,Radionuclide Imaging ,Digestive System Surgical Procedures ,Retrospective Studies ,medicine.diagnostic_test ,Gastric emptying ,business.industry ,Stomach ,Bile Reflux ,digestive, oral, and skin physiology ,medicine.disease ,digestive system diseases ,medicine.anatomical_structure ,Gastric Emptying ,Biliary tract ,Bile Ducts ,Radiopharmaceuticals ,business ,Technetium-99m - Abstract
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. © RSNA, 2003
- Published
- 2003
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