The role of H.I.D.A./P.I.P.I.D.A. scanning in diagnosing cystic duct obstruction

C. A. Suarez, F. Block, D. Bernstein, A. Serafini, G. Rodman, R. Zeppa

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

A newer approach to the early diagnosis of acute biliary tract disease is reviewed. Ninety-two patients were evaluated with a new hepatobiliary agent (H.I.D.A./P.I.P.I.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.

Original languageEnglish (US)
Pages (from-to)391-396
Number of pages6
JournalAnnals of surgery
Volume191
Issue number4
DOIs
StatePublished - Jan 1 1980
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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