Cholescintigraphy in patients with acute cholecystitis before and after percutaneous gallbladder drainage.
Eur J Gastroenterol Hepatol
; 7(11): 1093-7, 1995 Nov.
Article
em En
| MEDLINE
| ID: mdl-8680910
ABSTRACT
OBJECTIVE:
To investigate gallbladder function by use of cholescintigraphy in patients with acute cholecystitis before and after percutaneous gallbladder drainage.DESIGN:
A cholescintigraphy was performed in 40 patients with acute cholecystitis before and after the performance of percutaneous gallbladder drainage. During the post-drainage cholescintigraphies, a cholecystokinin stimulation was performed to investigate gallbladder emptying in 12 selected patients. Gallbladder pressure and volume were measured before drainage in another group of 12 patients with acute cholecystitis.RESULTS:
As expected, no gallbladder activity was observed in the cholescintigraphies before drainage, except in a patient with an occluding stone in the common bile duct. Cystic duct patency and gallbladder activity were seen in 80% of patients in cholescintigraphies performed after drainage but before any other treatment. Post-drainage cholescintigraphy revealed a mean gallbladder ejection fraction of 24%, which is significantly lower than the corresponding value in normal individuals and gallstone patients without cholecystitis (n = 12). Gallbladder pressure and volume were markedly increased compared with normal values.CONCLUSION:
The relief of increased gallbladder pressure and volume appears to be important for the re-establishment of gallbladder function.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Drenagem
/
Colecistite
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Eur J Gastroenterol Hepatol
Assunto da revista:
GASTROENTEROLOGIA
Ano de publicação:
1995
Tipo de documento:
Article
País de afiliação:
Dinamarca