Surgery Book

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Radionuclide CholescintographyAka: HIDA scan, DISIDA scan

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  1. Technique
    1. Technetium-iminodiacetic acid analog injected IV
      1. HIDA scan used for Serum Bilirubin < 5-7 mg/dl
      2. DISIDA scan used for Serum Bilirubin >7 mg/dl
    2. Absorbed and secreted into biliary tract by hepatocytes
  2. Interpretation
    1. Normal Billiary tract and Gallbladder
      1. Clear outline gallbladder and cystic duct in 1 hour
    2. Cystic duct obstruction
      1. Failure to outline Gallbladder within 1 hour

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