Influence of Hepatic Factors on Excretory Cholangiography

概要

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Four kinds of Drip Infusion Cholangiography (DIC) were performed to the patients of hepatobiliary diseases. By DIC-A method the detection rate of gallstone was 57% of cases. In non-visualized cases DIC-B or -D were performed and the detection rate increased to 77%.There were two groups in non-visualized cases of gallbladder and bile duct by DIC-A. One group included cases with ICG excretory defect, mainly with gallstone, and this group was visualized by DIC-B or -D. Another group included cases with ICG uptake defect, mainly hepatocellular disorders and these cases were visualized by DIC-C. These results were analyzed by observations of 131I-labelled iodipamide administration.The elevation of serum transaminase after DIC was observed in several cases and it was temporary.From these results it was concluded that DIC was useful in clinical medicine to diagnose diseases of biliary tract and each method should be preferred by analysis of ICG disappearance curve.
財団法人日本消化器病学会の論文