Open Access
CC BY 4.0 · World J Nucl Med 2023; 22(02): 152-170
DOI: 10.1055/s-0043-1769976
Presentation Abstracts

Hepatobiliary Study Showing Bile Reflux into the Gastric Mucosa

Trisha Hambapersad
1   Nuclear Medicine Imaging and Therapy Centres of Excellence, Durban, Kwa-Zulu Natal, South Africa
,
Lusamba Noella Kashala
1   Nuclear Medicine Imaging and Therapy Centres of Excellence, Durban, Kwa-Zulu Natal, South Africa
,
James Erick Munyasa
1   Nuclear Medicine Imaging and Therapy Centres of Excellence, Durban, Kwa-Zulu Natal, South Africa
,
Masha Maharaj
1   Nuclear Medicine Imaging and Therapy Centres of Excellence, Durban, Kwa-Zulu Natal, South Africa
› Author Affiliations
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    drmasha@yahoo.co.uk

    Introduction: Hepatobiliary (HIDA) scintigraphy is a radionuclide diagnostic imaging study that tracks the production and flow of bile from the formative phase in the liver and its passage through the biliary system into the small intestine. It is performed to assess hepatocellular function and the biliary system. The clinical indication of this study includes acute cholecystitis, bile leakage, calculation of gallbladder ejection fraction (GBEF), functional assessment of the liver before partial hepatectomy, sphincter of Oddi dysfunction, among others.

    Aims and Objective: importance of Incidental finding of gastric bile reflux during hepatobiliary scan in patients presenting with symptoms for biliary dyskinesia.

    Methods: Three (3) patients in total were used in this study. The most common symptoms were nausea, diarrhea, and epigastric pain. The standard protocol was used with the patients fasting for 4 hours prior to scanning. Dynamic images were acquired for an hour post radiotracer administration with a dose of 370 MBq (99mTc bromo biliaron), followed by a reference static image of the same field of view. The patients were then instructed to eat a fatty meal to enhance gall bladder contraction. A static image of the abdomen was acquired an hour after the previous reference static image in order for us to create time activity curves. The acquired images were then processed using the Xeleris program.

    Results: The findings showed good hepatocyte function in 100% of the patients; however, 66.7% showed bile gastric reflux. 33.3% of the patients showed no bile gastric reflux.

    Conclusion: This study showed incidental findings of gastric bile reflux during a hepatobiliary scintigraphy which is commonly performed to assess hepatocyte and gallbladder function. These finding change the patient management and resulted in good clinical outcomes.


     

    No conflict of interest has been declared by the author(s).

    Publication History

    Article published online:
    25 May 2023

    © 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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