Cholescintigraphy in patients with acute cholecystitis before and after percutaneous gallbladder drainage.

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.

authors

Borly L,Stage JG,Grønvall S,Højgaard L

doi

10.1097/00042737-199511000-00013

subject

Has Abstract

pub_date

1995-11-01 00:00:00

pages

1093-7

issue

11

eissn

0954-691X

issn

1473-5687

journal_volume

7

pub_type

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