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Biliary scintigraphy in acute pancreatitis

Journal Article · · Radiology; (United States)
A prospective study was carried out in 60 patients to determine the efficacy of /sup 99m/Tc-PIPIDA scintigraphy in differentiating biliary pancreatitis from nonbiliary pancreatitis. Forty patients were classified as having biliary pancreatitis and 20 patients as having the nonbiliary type. Scintigraphic scans were divided into five main types according to the time to visualization of the gallbladder and the time to excretion of /sup 99m/Tc-PIPIDA into the intestinal tract. Normal scans were obtained on 95% of patients (19/20) with nonbiliary pancreatitis; 22.5% of patients (9/40) with biliary pancreatitis had normal scans. It is concluded that elevated amylase levels together with an abnormal biliary scan, as defined by the criteria presented here, indicate biliary pancreatitis, while a normal scan largely excludes such diagnosis.
Research Organization:
Department of Radiology, University of Miami School of Medicine, FL
OSTI ID:
6943240
Journal Information:
Radiology; (United States), Journal Name: Radiology; (United States) Vol. 144:3; ISSN RADLA
Country of Publication:
United States
Language:
English