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Online ISSN : 1883-6879
Print ISSN : 0914-0077
ISSN-L : 0914-0077
Clinical evaluation of choledocho-duodenal bile flow with cholescintigraphy in patients before and after endoscopic sphincterotomy
Akinori ITOHKiyoshi OKAMURAYoshimi SHIBATAShigeyuki OKANOShigeru KITAMORIKousuke MAGUCHITakeshi OBARAYukihiro TAKAIMasayoshi NAMIKIShozou TAKEDA
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1989 Volume 3 Issue 4 Pages 403-413

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Abstract
Between August 1983 and December 1987, endoscopic sphincterotomy (EST) was performed in 129 patients with choledocholithiasis. In those 22 patients cholescintigraphy using Tc-99m-E-HIDA was performed to evaluate bile flow before and after EST. In 8 patients cholecystectomy had been performed before EST, and in 14 patients the gallbladder was not removed. Cholescintigraphy was performed before and after EST, and in 15 patients cholescintigraphic follow-up study was carried out in the period of 4 months to 46 months with an average of 24.2 months. Cholescintigram revealed significant improvement of bile flow after EST. Long term follow-up showed that in patients without gallbladder bile flow remained normal but in patients with gallbladder bile flow impaired. Cholescintigraphy is useful in the assessment of bile flow after EST.
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© Japan Biliary Association
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