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Measurement of gallbladder emptying sequentially using a single dose of /sup 99m/Tc-labeled hepatobiliary agent

Journal Article · · Gastroenterology; (United States)
OSTI ID:6856549
The gallbladder emptying response to a single large (20 ng/kg) and four equally divided sequential small (5 ng/kg each) doses of octapeptide of cholecystokinin at 20-min intervals was measured in a paired study in six normal subjects noninvasively and quantitatively by a nongeometric method using a gamma camera, computer, and /sup 99m/Tc labeled hepatobiliary agent. The gallbladder mean (+/- SD) ejection fraction after a single large dose (20 ng/kg) of octapeptide of cholecystokinin was 34 +/- 24% and after four sequential small (5 ng/kg each) doses was 42 +/- 14%, 45 +/- 28%, 37 +/- 22%, and 32 +/- 27%, respectively (p greater than 0.05). The results of this study indicate that the first part of the 5 ng/kg sequential octapeptide of cholecystokinin dose is as effective as the single 20-ng/kg dose. The gallbladder emptying requires continued presence of high levels of octapeptide of cholecystokinin in the serum closer to levels that initiate contraction and in the absence of which the gallbladder ceases to empty further despite the fact it has inherent capacity to do so. Each of four equal octapeptide of cholecystokinin doses given sequentially elicits, on the average, an equal degree of emptying response. The method has potential for application in the study of the pharmacological effects of drugs on the biliary dynamics using a single dose of /sup 99/mTc-labeled hepatobiliary radiopharmaceutical.
Research Organization:
Nuclear Medicine and Research Services, Veterans Administration Medical Center, Portland, Oregon
OSTI ID:
6856549
Journal Information:
Gastroenterology; (United States), Journal Name: Gastroenterology; (United States) Vol. 83:4; ISSN GASTA
Country of Publication:
United States
Language:
English