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KMID : 0371319940470010079
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Journal of the Korean Surgical Society
1994 Volume.47 No. 1 p.79 ~ p.85
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Diagnostic Value of DISIDA Scan in Post-operative Evaluation for the Patients with Intrahepatic Stones
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Abstract
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Most cases of intrahepatic stones are curative disease but in some cases, residual and recurrent stones produce serious clinical sequelae such as recurrent cholantigis. The operative principle is to remove as many stones as possible, to achieve
adequate
drainage of all stenotic or obstruction of biliary duct and to excise the involved portion of the liver as needed when stone removal and ductal drainge cannot be directly achieved.
With advances in the diagnosis and surgical treatment of the intrahepatic stones, many noninvasive imaging procedures have been used in the assessment of the surgically treated intrahepatic stones during the postoperative follow-up period.
Abdominal
ultrasonography has been widely performed initially but its assessment on the patients with symptoms was not sa-tisfied with. Thus another noninvasive diagnostic procedures have been proposed. Of them, DISIDA scan was introduced and has been
used.
So, authors performed DISIDA scan during the postoperative foloow-up period in all patients who has received hepatic resection with biliary-enteric anastomosis because of intrahepatic stones and statistically analized its clinical efficacy on
symptomatic patients as a noninvasive diagnostic tool.
@ES The results were as follows;
@EN The DISIDA scan had no statistically significant differences between symptomatic and asymptomatic patients during the postoeprative follow-up period but in some patients it is useful noninvasive diagnostic tool to assess patietn's state.
Finally,
DISIDA scan is not a efficient procedure alone but thought to be a complementary noninvasive diagnostic tool for the postoperative follow-up
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