| Japanese |
|---|
| Title | 胆道シンチグラフィーによる胆嚢・Oddi氏括約筋機能の評価 - 新しい概念としての vesicosphincter dysfunction - |
|---|
| Subtitle | 短報 |
|---|
| Authors | 村木俊雄*, 山田英夫*, 田淵博己*, 丹野宗彦*, 外山比南子*, 村田啓*, 千葉一夫*, 斉藤昌三**, 青柳利雄** |
|---|
| Authors(kana) | |
|---|
| Organization | *東京都養育院付属病院核医学放射線部, **杏林大学第三内科 |
|---|
| Journal | 核医学 |
|---|
| Volume | 19 |
|---|
| Number | 8 |
|---|
| Page | 1223-1227 |
|---|
| Year/Month | 1982/9 |
|---|
| Article | 報告 |
|---|
| Publisher | 日本核医学会 |
|---|
| Abstract | 「I. はじめに」 肝・胆道シンチグラフィーは, 現在肝実質機能の評価, 外科的・内科的黄疸の鑑別, Dubin Johnson症候群と Rotor 型過ビリルビン血症の鑑別, 胆道系の通過状態の診断, 新生児黄疸の鑑別, 急性胆嚢炎の診断, 胆汁漏の診断, 胆嚢収縮機能の検査などに用いられている. しかし, Oddi氏括約筋の機能を含めた広い意味での胆嚢胆道系の機能, いわば vesicosphincter functionについてはほとんど注目されていない. 今回われわれは, 肝・胆道シンチグラフィーにより胆嚢およびOddi氏括約筋機能 (vesicosphincter function) の検討を行い若干の知見を得たので報告する. 「II. 方法」 肝・胆道疾患患者 (38例) および健常人または肝・胆道に異常のない患者 (7例) に対し, 朝空腹時に99mTc-EHIDA 3 mCiを静注し3分間隔にて肝・胆道系のシンチグラムを撮影した. |
|---|
| Practice | 臨床医学：一般 |
|---|
| Keywords | Hepatobiliary scan, Vesicosphincter function, Paradoxical excretion |
|---|
| English |
|---|
| Title | Evaluation of the Gall Bladder and the Sphincter of Oddi by Cholescintigram - Vesicosphincter Dysfunction as a New Concept - |
|---|
| Subtitle | |
|---|
| Authors | Toshio MURAKI*, Hideo YAMADA*, Hiromi TABUCHI*, Munehiko TANNO*, Hinako TOYAMA*, Hajime MURATA*, Kazuo CHIBA*, Shozo SAITO**, Toshio AOYAGI** |
|---|
| Authors(kana) | |
|---|
| Organization | *Department of Nuclear Medicine and Radiological Sciences, Tokyo Metropolitan Geriatric Hospital, **The Third Department of Internal Medicine, Kyorin University |
|---|
| Journal | The Japanese Journal of nuclear medicine |
|---|
| Volume | 19 |
|---|
| Number | 8 |
|---|
| Page | 1223-1227 |
|---|
| Year/Month | 1982/9 |
|---|
| Article | Report |
|---|
| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
|---|
| Abstract | [Summary] Function of the gall bladder and the Oddi's sphincter was assessed by sequential hepatobiliary scan using 99mTc-EHIDA. The results were summarized as follows. 1) At fasting a normal gall bladder can accumulate most of the activity and can keep it within the gall bladder over an hour. 2) After injection of cerulein rapid intestinal excretion from the gall bladder was observed. 3) In some biliary diseases such as cholecystolithiasis, gallbladder cancer etc, the activity was rapidly excreted into the intestine with poor or nonvisualization of the gallbladder even at fasting. (Paradoxical intestinal excretion) 4) Preliminary results showed potential usefulness of 99mTc-cholescintigram for the evaluation of the vesicosphincter function. |
|---|
| Practice | Clinical medicine |
|---|
| Keywords | Hepatobiliary scan, Vesicosphincter function, Paradoxical excretion |
|---|