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Assessment of the biliary tract after liver transplantation: T tube cholangiography or IODIDA scanning by M. Anselmi; S. Lancberg; M. Deakin; E. Lanchbury; Z. Drolc; F. Burrows; E. Elias; Mr P. McMaster is a Medicine article available to read on EtoBox.

What is Assessment of the biliary tract after liver transplantation: T tube cholangiography or IODIDA scanning about?

Biliary tract obstruction or anastomotic leakage are common problems following liver transplantation. In a sequential study, 31 patients with a liver transplant were investigated by 99mTc-IODIDA (IODIDA) scanning and T tube cholangiography ( T T C ) and the results tc-ere compared with clinical outcome. Seven patients had an extrahepatic biliary obstruction and one patient had a biliary leak. In the detection of biliary complications T T C and IODIDA scanning were similar in terms of sensitivity (63per cent,for both) but T T C hada better specificitji (79 per cent versus 60 per cent) and accuracy (74 per cent versus 6 0 per cent) than IODIDA scanning. When liver ,function was taken into account, the diagnostic efii'cacy of both tests in patients with bilirubin levels of 200 ,umol/l there M ~Y a greater number of' false positive results with IODIDA scanning (12 per cent versus 54 per cent). The only significant biliary leak MUY clearly detected by T T C but not IODIDA scanning. T T C remains the more effective way of evaluating the biliary tract ufter transplantation. IODIDA scanning has limited value when bilirubin levels are elevated, but may provide additional information about

Who reads Assessment of the biliary tract after liver transplantation: T tube cholangiography or IODIDA scanning?

Author

M. Anselmi; S. Lancberg; M. Deakin; E. Lanchbury; Z. Drolc; F. Burrows; E. Elias; Mr P. McMaster

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley; Research Square; Oxford University Press (OUP) (ISSN 0007-1323)

Published

1990

Language

EN

Field

Medicine (Health Sciences)