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[Long-term infusion-cholangiocholecystography as a routine method (author's transl)]
Rontgen-Blatter; Zeitschrift Fur Rontgen-Technik Und Medizinisch-Wissenschaftliche Photographie
|November 1, 1976
Summary
Long-term infusion-cholegraphy effectively visualizes the biliary tract in patients with liver issues. This method is well-tolerated and provides diagnostic value, even with elevated bilirubin levels.
Area of Science:
- Radiology
- Diagnostic Imaging
- Hepatology
Background:
- Intravenous cholangiocholecystography can be ineffective in patients with hepatic elimination dysfunction.
- Alternative imaging techniques are needed for biliary tract visualization in these cases.
Purpose of the Study:
- To evaluate the diagnostic efficiency and informative value of long-term infusion-cholegraphy.
- To assess the tolerability and safety of this imaging technique in patients with impaired liver function.
Main Methods:
- Thirty patients with hepatic elimination dysfunction or prior non-diagnostic intravenous cholangiocholecystography were included.
- Long-term infusion-cholegraphy was performed by infusing contrast medium for 3 hours, with bilirubin levels increased up to 3 mg%.
Main Results:
- A diagnostically useful demonstration of the biliary tract was achieved in 29 out of 30 patients (96.7%).
- Infusion contrast medium was better tolerated than intravenous contrast medium, despite increased iodine content.
- No hepatic toxicity was observed during the study.
Conclusions:
- Long-term infusion-cholegraphy is an efficient and informative imaging method for the biliary tract in patients with hepatic elimination dysfunction.
- The procedure is well-tolerated and safe, offering a valuable alternative to intravenous cholangiocholecystography.