Open AccessThe Role of H.I.D.A.IP.I.P.I.D.A. Scanning in Diagnosing
Author(s) -
Carlos Antonio Escobar Suárez,
Faith E. Block,
D Bernstein,
Aldo N. Serafini,
George H. Rodman,
Robert Zeppa
Publication year - 1980
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198004000-00001
Subject(s) - medicine , cystic duct , acute cholecystitis , gallbladder , cholecystectomy , biliary tract , gastroenterology , ultrasonography , disease , gallbladder disease , biliary disease , radiology
A newer approach to the early diagnosis of acute biliary tract disease is review. Ninety-two patients were evaluated with a new hepatobiliary agent (H.I.D.A/P.I.P.D.A.) for the presence of cystic duct obstruction. Seven patients with suspected acute gall bladder disease were dropped from the study for the lack of pathologic confirmation of the diagnosis. Forty-four of the remaining 85 patients were subsequently operated on and found to have acute cholecystitis. Forty-three of the 44 had cystic duct obstruction demonstrated on H.I.D.A. Scan (one false negative). An additional 23 patients underwent cholecystectomy for chronic disease. In this group, the gallbladder scan was only 43% (10/23) accurate in correctly identifying disease. Eighteen patients with nonbiliary disease had normal scans. The accuracy of ultrasonography and the scan are also compared in a smaller subgroup of 53 patients who had both studies.