Role of 99mTc-HIDA Scan for Assessment of Gallbladder Dyskinesia and Comparison of Gallbladder Dyskinesia with Various Parameters in Laparoscopic Cholecystectomy Patients
المؤلفون المشاركون
Thiyagarajan, Manuneethimaran
Kamaraj, Eniyan
Navrathan, Nitesh
Thyagarajan, Mohanapriya
Singh Krishna, Balaji
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-02-14
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Objectives.
Pathogenesis of gallstone includes bile stasis due to defect in the gallbladder muscle contraction.
Our aim of the study is to find out the role of 99mTc-HIDA scan in assessment of gallbladder dyskinesia in cholelithiasis patients before laparoscopic cholecystectomy and compare the gallbladder dyskinesia with various parameters like symptoms of patients, diabetic status of patients, gallstones size and number, and cholecystitis features in histopathology report after surgery.
Material and Method.
This is a prospective observational study conducted at our hospital for three years.
Totally 40 patients with gallstone were subjected to 99mTc-HIDA scan, to assess the ejection fraction of gallbladder.
For all these patients detailed clinical history, presence of comorbid illness like diabetics, and symptomatology were elicited.
For all patients, ultrasonogram of abdomen was done to assess number and size of stones.
All parameters were tabulated and correlated.
Result.
While comparing 99mTc-HIDA scan findings with symptoms of patients, 21.2% were asymptomatic and 78.8% symptomatic patients who had ejection fraction less than 80%.
All patients in EF >80% group were symptomatic only.
It is not statistically significant.
On comparing 99mTc-HIDA scan findings with diabetic status of the patients, 42.4% of diabetic and 57.6 % of nondiabetic patients had ejection fraction less than 80%.
It is not statistically significant (0.681).
While comparing 99mTc-HIDA scan findings with size of the gallstone in ultrasound, 63.6% patients with size less than 1cm and 36.4% with size more than 1cm had ejection fraction < 80%.
It is statistically significant (0.048).
On comparing 99mTc-HIDA scan findings with number of stones in ultrasound, 18.2% single gallstone patients and 81.8% multiple gallstone patients had EF less than 80% which is statistically significant (0.001).
While comparing the 99mTc-HIDA scan findings with histopathology report after laparoscopic cholecystectomy, 21.2% non-cholecystitis patients and 78.8% cholecystitis patients had EF less than 80%, which is statistically (0.017) significant.
Conclusion.
99mTc-HIDA scan can be an accurate method to diagnose the gallbladder dyskinesia.
Gallbladder dyskinesia in 99mTc-HIDA scan can be used to predict large size stones and multiple stones before surgery.
The sensitivity can be improved by 99mTc-HIDA scan in diagnosing cholecystitis patients.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Thiyagarajan, Manuneethimaran& Kamaraj, Eniyan& Navrathan, Nitesh& Thyagarajan, Mohanapriya& Singh Krishna, Balaji. 2019. Role of 99mTc-HIDA Scan for Assessment of Gallbladder Dyskinesia and Comparison of Gallbladder Dyskinesia with Various Parameters in Laparoscopic Cholecystectomy Patients. Minimally Invasive Surgery،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1193682
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Thiyagarajan, Manuneethimaran…[et al.]. Role of 99mTc-HIDA Scan for Assessment of Gallbladder Dyskinesia and Comparison of Gallbladder Dyskinesia with Various Parameters in Laparoscopic Cholecystectomy Patients. Minimally Invasive Surgery No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1193682
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Thiyagarajan, Manuneethimaran& Kamaraj, Eniyan& Navrathan, Nitesh& Thyagarajan, Mohanapriya& Singh Krishna, Balaji. Role of 99mTc-HIDA Scan for Assessment of Gallbladder Dyskinesia and Comparison of Gallbladder Dyskinesia with Various Parameters in Laparoscopic Cholecystectomy Patients. Minimally Invasive Surgery. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1193682
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1193682
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر