Value of Hepatobiliary Scintigraphy After Type 1 Choledochal Cyst Excision and Roux-en-Y Hepatojejunostomy

Tuncel, Murat; Ergün, Eser Lay

doi:10.1097/01.rlu.0000196600.71061.6c

Cited by 5 publications

(6 citation statements)

References 8 publications

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“…Afferent loop syndrome (52)(53)(54)(55)(56) 11. Assessment of choledochal cysts (11,(57)(58)(59)(60)(61)(62)(63)(64) 12. Calculation of gallbladder ejection fraction (GBEF) ( …”

Section: Common Clinical Indicationsmentioning

confidence: 99%

SNM Practice Guideline for Hepatobiliary Scintigraphy 4.0

Tülchinsky¹,

Ciak

Delbeke

et al. 2010

Journal of Nuclear Medicine Technology

104

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“…Afferent loop syndrome (52)(53)(54)(55)(56) 11. Assessment of choledochal cysts (11,(57)(58)(59)(60)(61)(62)(63)(64) 12. Calculation of gallbladder ejection fraction (GBEF) ( …”

Section: Common Clinical Indicationsmentioning

confidence: 99%

SNM Practice Guideline for Hepatobiliary Scintigraphy 4.0

Tülchinsky¹,

Ciak

Delbeke

et al. 2010

Journal of Nuclear Medicine Technology

104

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Section: Discussionmentioning

confidence: 99%

“…99m Tc-N-pyridoxyl-5-methyltryptophan ( 99m Tc-PMT) hepatobiliary scintigraphy is a minimally invasive diagnostic imaging method that physiologically evaluates bile ow dynamics. It has been used for the postoperative evaluation of cholangiocarcinoma surgery in adults and liver transplantation in children [8][9][10]. However, the usefulness of 99m Tc-PMT hepatobiliary scintigraphy after pediatric CC surgery has not been systematically evaluated.…”

Section: Introductionmentioning

confidence: 99%

Usefulness of hepatobiliary scintigraphy for predicting late complications in patients with choledochal cysts

Kawaguchi

Terui

Komatsu

et al. 2022

Preprint

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Purpose: Hepatobiliary scintigraphy is a minimally invasive imaging method that evaluates bile flow dynamics. At our hospital, it has been performed for postoperative evaluation of patients with choledochal cysts (CC). This study evaluated the usefulness of biliary scintigraphy for predicting late complications in patients with CCs. Methods: The study included pediatric patients with CC who underwent surgery at Chiba University Hospital from 1978 to 2020, followed by postoperative biliary scintigraphy and subsequent radiologic evaluation. The patients were divided into two groups according to the presence or absence of “biliary cholestasis” on biliary scintigraphy. Results: The study included 108 patients, with a median age at surgery of 2 years and 11 months. The median follow-up period was 5,203 days, with 11 hepatolithiasis cases and 8 cholangitis cases. No patients had cholangiocarcinoma. Twelve patients were considered to have "cholestasis" following biliary scintigraphy evaluation. There was no significant difference in the occurrence of hepatolithiasis between the cholestasis and non-cholestasis groups (p = 0.47), but cholangitis was significantly more common in the cholestasis group (p = 0.016). Conclusion: Biliary cholestasis on postoperative hepatobiliary scintigraphy was a risk factor for cholangitis in patients with CCs. These particular patients should be monitored carefully.

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“…In biliary tract surgery, the passage through the bile duct anastomosis may be evaluated postoperatively. In adults, hepatobiliary scintigraphy is used to evaluate bile excretion after surgery for biliary tract cancer [ 9 , 10 , 25 ]. Furthermore, the reliability of biliary stenosis diagnosis following liver transplantation in children is reportedly improved by the use of combined ultrasonography and biliary scintigraphy [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…99m Tc-N-pyridoxyl-5-methyltryptophan ( 99m Tc-PMT) hepatobiliary scintigraphy is a minimally invasive diagnostic imaging method that physiologically evaluates bile flow dynamics. It has been used for the postoperative evaluation of cholangiocarcinoma surgery in adults and liver transplantation in children [8][9][10]. However, the usefulness of 99m Tc-PMT hepatobiliary scintigraphy after pediatric CC surgery has not been systematically evaluated.…”

Section: Introductionmentioning

confidence: 99%

Usefulness of hepatobiliary scintigraphy for predicting late complications in patients with choledochal cysts

et al. 2022

View full text Add to dashboard Cite

Purpose Hepatobiliary scintigraphy is a minimally invasive imaging method that evaluates bile flow dynamics. At our hospital, it has been performed for postoperative evaluation of patients with choledochal cysts (CC). This study evaluated the usefulness of biliary scintigraphy for predicting late complications in patients with CCs. Methods The study included pediatric patients with CC who underwent surgery at Chiba University Hospital from 1978 to 2020, followed by postoperative biliary scintigraphy and subsequent radiologic evaluation. The patients were divided into two groups according to the presence or absence of “biliary cholestasis” on biliary scintigraphy. Results The study included 108 patients, with a median age at surgery of 2 years and 11 months. The median follow-up period was 5203 days, with 11 hepatolithiasis cases and 8 cholangitis cases. No patients had cholangiocarcinoma. Twelve patients were considered to have “cholestasis” following biliary scintigraphy evaluation. There was no significant difference in the occurrence of hepatolithiasis between the cholestasis and non-cholestasis groups (p = 0.47), but cholangitis was significantly more common in the cholestasis group (p = 0.016). Conclusion Biliary cholestasis on postoperative hepatobiliary scintigraphy was a risk factor for cholangitis in patients with CCs. These particular patients should be monitored carefully.

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Value of Hepatobiliary Scintigraphy After Type 1 Choledochal Cyst Excision and Roux-en-Y Hepatojejunostomy

Cited by 5 publications

References 8 publications

SNM Practice Guideline for Hepatobiliary Scintigraphy 4.0

SNM Practice Guideline for Hepatobiliary Scintigraphy 4.0

Usefulness of hepatobiliary scintigraphy for predicting late complications in patients with choledochal cysts

Usefulness of hepatobiliary scintigraphy for predicting late complications in patients with choledochal cysts

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