Quantitative evaluation of bile diversion surgery utilizing /sup 99m/Tc HIDA scintigraphy

Journal Article · Tue Feb 01 00:00:00 EST 1983 · Gastroenterology; (United States)

OSTI ID:6148558

Wickremesinghe, P C; Dayrit, P Q; Manfredi, O L; Fazio, R A; Fagel, V L

This is a report of 21 patients presenting with epigastric pain, bilious vomiting, upper gastrointestinal bleeding, iron-deficiency anemia, and weight loss, who had undergone Billroth II gastrectomy from 3 to 35 yr earlier. Eighteen of 21 patients were found to have significant enterogastric reflux indices varying from 60% to 95% demonstrated by /sup 99m/Tc HIDA scintigraphy. Thirteen patients had diversion antireflux surgery in the form of a Roux-en-Y procedure, and 1 patient had a Henley loop jejunal interposition. Postoperative /sup 99m/Tc HIDA scintigraphic studies showed the enterogastric reflux indices to have decreased significantly to a range of 2%-26% (p less than 0.00001). There was marked improvement of symptoms, including correction of anemia and weight gain in those patients who had been anemic or who had sustained earlier weight loss. The enterogastric reflux indices of 10 asymptomatic control patients after Billroth II gastrectomy ranged from 4% to 45%. /sup 99m/Tc HIDA scintigraphy is useful in evaluating patients before and after bile diversion surgery, and demonstrates the quantitative decrease in enterogastric reflux after such surgery.

• Research Organization: Department of Medicine, St. Vincent's Medical Center of Richmond, Staten Island, New York
• OSTI ID: 6148558
• Journal Information: Gastroenterology; (United States), Vol. 84:2
• Country of Publication: United States
• Language: English

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BILE
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