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Riyad K, Chalmers CR, Aldouri A, et al. The role of (99m)technetium-labelled hepato imino diacetic acid (HIDA) scan in the management of biliary pain. HPB (Oxford). 2007;9(3):219-24doi: 10.1080/13651820701223022.
Riyad, K., Chalmers, C. R., Aldouri, A., Fraser, S., Menon, K., Robinson, P. J., & Toogood, G. J. (2007). The role of (99m)technetium-labelled hepato imino diacetic acid (HIDA) scan in the management of biliary pain. HPB : the official journal of the International Hepato Pancreato Biliary Association, 9(3), 219-24. https://doi.org/10.1080/13651820701223022
Riyad, K, et al. "The role of (99m)technetium-labelled hepato imino diacetic acid (HIDA) scan in the management of biliary pain." HPB : the official journal of the International Hepato Pancreato Biliary Association vol. 9,3 (2007): 219-24. doi: https://doi.org/10.1080/13651820701223022
Riyad K, Chalmers CR, Aldouri A, Fraser S, Menon K, Robinson PJ, Toogood GJ. The role of (99m)technetium-labelled hepato imino diacetic acid (HIDA) scan in the management of biliary pain. HPB (Oxford). 2007;9(3):219-24. doi: 10.1080/13651820701223022. PMID: 18333226; PMCID: PMC2063605.
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HPB (Oxford). 2007;9(3):219-24. doi: 10.1080/13651820701223022.

The role of (99m)technetium-labelled hepato imino diacetic acid (HIDA) scan in the management of biliary pain.

HPB : the official journal of the International Hepato Pancreato Biliary Association

K Riyad, C R Chalmers, A Aldouri, S Fraser, K Menon, P J Robinson, G J Toogood

Affiliations

  1. Department of Hepatobiliary and Transplant Surgery, St James's University Hospital, Leeds, UK.

PMID: 18333226 PMCID: PMC2063605 DOI: 10.1080/13651820701223022

Abstract

OBJECTIVE: To assess the outcome of laparoscopic cholecystectomy on the basis of an abnormal provocative (99m)technetium-labelled hepato imino diacetic acid (HIDA) scan for patients with typical biliary pain and normal trans-abdominal ultrasound (TUS) scan.

PATIENTS AND METHODS: Prospective data were collected for 1201 consecutive patients with typical biliary symptoms. Patients who were found to have a normal TUS and upper GI endoscopy subsequently underwent cholescintigraphy (HIDA scan). Patients with an abnormal HIDA scan, i.e.<40% ejection fraction with Sincalide (cholecystokinin octapeptide)--were offered cholecystectomy. Symptoms and histology were reviewed postoperatively.

RESULTS: In all, 48/1201 (4%) patients with typical biliary symptoms had a normal ultrasound and endoscopy; 35/48 patients had an abnormal provocative HIDA scan and all underwent laparoscopic cholecystectomy. Histology in all cases revealed chronic cholecystitis and 18 patients had sludge or microlithiasis within the gallbladder. At 6-week follow-up, 31 of the 35 patients were completely asymptomatic or improved. Furthermore, 79% of patients remained symptom-free or improved at a median follow-up of 28.5 months (range 4-70).

CONCLUSIONS: HIDA scan is a useful clinical tool as an adjunct to the diagnosis and management of patients who present with typical biliary pain and a normal TUS scan.

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