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Source of fecal gallium--clinical implications: concise communication. [Gallium-67 kinetics in rats]

Journal Article · · J. Nucl. Med.; (United States)
OSTI ID:6201933

Bowel preparation before gallium-67 scanning often conists of cathartics, enemas, and a liquid or low-residue diet. Since human bile has approximately one-third the gallium concentration of the liver, the diet is presumably designed to minimize biliary excretion of gallium into the gut. To determine the actual biliary contribution to fecal gallium, the bile ducts of 15 rats were ligated and severed. Following the i.v. injection of Ga-67 citrate, the 72-hr fecal excretion of gallium was compared with that of 15 control rats with only a sham operation. Tissue distribution studies were also performed, and an additional 14 rats were gavaged with Ga-67 citrate to assess intestinal absorption. The organ distribution of gallium was similar in both groups and there was no appreciable intestinal absorption. The 72-hr fecal excretion of gallium in the control animals was not significantly different from that in the group with ligated bile duct: 13.1% compared with 12.9%, respectively. The data suggest that gallium reaches the feces primarily through the bowel mucosa rather than by biliary excretion, and for that reason it is probably unnecessary to deprive a patient of solid food. Furthermore, a liquid or low-residue diet is unlikely to facilitate gallium transit through the bowel.

Research Organization:
Univ. of California, San Diego
OSTI ID:
6201933
Journal Information:
J. Nucl. Med.; (United States), Journal Name: J. Nucl. Med.; (United States) Vol. 19:11; ISSN JNMEA
Country of Publication:
United States
Language:
English

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