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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/20366


Title: Duodenogastric reflux before and after cholecystectomy: evaluation by Technetium-99m Mebrofenin scintigraphy
Authors: Bhat, Nadeem Ahmad
Wani, Khurshid Aalam
Khan, Shoukat Hussain
Wani, Nazir Ahmad
Syed, Mushtaq Ahmad
Issue Date: 31-Dec-2003
Publisher: Medknow Publications on behalf of Association of Surgeons of India
Citation: Indian Journal of Surgery (ISSN: 0972-2068) Vol 65 Num 3
Abstract: The present study was conducted prospectively in the department of General Surgery and Nuclear Medicine, SKIMS from April 1999 to March 2000. 30 patients with symptoms attributable to ultrasound-documented gallstones were included in the study. 5 mci Tc-99m Mebrofenin was used for scanning the hepatobiliary system on a Siemens Icon-Gamma Camera with predefined computer software. The stomach was localized using Tc-99m sulphur colloid. In the present study 16 patients did not reveal any significant reflux pre and postoperatively. Seven (23.3 per cent) patients who had a significant duodenogastric reflux preoperatively persisted with significant postoperative reflux as well, however, the quantitative difference in reflux was insignificant (p > 0.05). Seven (23.3 per cent) patients who had an insignificant preoperative reflux developed a significant postoperative reflux (p < 0.05). These patients also had post-cholecystectomy symptoms attributable to alkaline gastritis. Tc-99m Mebrofenin hepatobiliary scanning with gastric localization is a useful, non-invasive, reproducible and cost-effective method to evaluate duodenogastric reflux both pre and postoperatively. Most of the drawbacks encountered with other methods, especially those needing gastric intubation, are overcome.
URI: http://hdl.handle.net/1807/20366
Other Identifiers: http://www.bioline.org.br/abstract?id=is03046
Rights: Copyright 2003 Indian Journal of Surgery. Online full text also at http://www.indianjsurg.com/
Appears in Collections:Bioline International Legacy Collection

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