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, Aldo N Serafini, G. Rodman, R. Zeppa

Research output: Contribution to journalArticle

32 Citations (Scopus)

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
Pages (from-to)391-396
Number of pages6
JournalAnnals of Surgery
Volume191
Issue number4
StatePublished - May 23 1980
Externally publishedYes

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Cystic Duct
Biliary Tract Diseases
Gallbladder Diseases
Acute Cholecystitis
Cholecystectomy
Gallbladder
lidofenin
Early Diagnosis
Ultrasonography
Chronic Disease

ASJC Scopus subject areas

  • Surgery

Cite this

Suarez, C. A., Block, F., Bernstein, D., Serafini, A. N., Rodman, G., & Zeppa, R. (1980). The role of H.I.D.A./P.I.P.I.D.A. scanning in diagnosing cystic duct obstruction. Annals of Surgery, 191(4), 391-396.

The role of H.I.D.A./P.I.P.I.D.A. scanning in diagnosing cystic duct obstruction. / Suarez, C. A.; Block, F.; Bernstein, D.; Serafini, Aldo N; Rodman, G.; Zeppa, R.

In: Annals of Surgery, Vol. 191, No. 4, 23.05.1980, p. 391-396.

Research output: Contribution to journalArticle

Suarez, CA, Block, F, Bernstein, D, Serafini, AN, Rodman, G & Zeppa, R 1980, 'The role of H.I.D.A./P.I.P.I.D.A. scanning in diagnosing cystic duct obstruction', Annals of Surgery, vol. 191, no. 4, pp. 391-396.
Suarez CA, Block F, Bernstein D, Serafini AN, Rodman G, Zeppa R. The role of H.I.D.A./P.I.P.I.D.A. scanning in diagnosing cystic duct obstruction. Annals of Surgery. 1980 May 23;191(4):391-396.
Suarez, C. A. ; Block, F. ; Bernstein, D. ; Serafini, Aldo N ; Rodman, G. ; Zeppa, R. / The role of H.I.D.A./P.I.P.I.D.A. scanning in diagnosing cystic duct obstruction. In: Annals of Surgery. 1980 ; Vol. 191, No. 4. pp. 391-396.
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