A comparative study of gallbladder function using echography and HIDA-CCK.

Authors

  • R Ceia
  • F V Fernandes
  • J Coutinho
  • F Godinho

DOI:

https://doi.org/10.20344/amp.3494

Abstract

This paper compares two methods of evaluating gall-bladder function after stimulation with cholecystokinin (CCK); One, the echographic method, permits the gall-bladder contraction study by determining variations in face area of the organ. The other, the scintigraphic method (HIDA-CCK test), studies of the gall-bladder emptying registering the decreases of activity by external counts. Out of 20 studies performed: 8 cases presented a contractile response and normal emptying; 7 had an abnormality late initial response (Ti) and contraction and emptying (defined by T1/2) slower than normal. In the 5 patients the gall-bladder traced with HIDA did not respond to CCK. Within this group, one patient had an incomplete painful contraction, evaluation by echography. The onset of pain or sub-costal discomfort was a variable finding within the different study groups. The linear coefficient correlation for the normal group and for the patients with late response was 0.8255 (x = 2.216 gamma-4.59). Based on these data and taking into account cheaper cost, patient comfort, and greater availability of equipment, the echographic method for studying gall-bladder contraction after administration of CCK, can be used instead of the HIDA-CCK procedure.

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How to Cite

1.
Ceia R, Fernandes FV, Coutinho J, Godinho F. A comparative study of gallbladder function using echography and HIDA-CCK. Acta Med Port [Internet]. 1989 Dec. 30 [cited 2024 Nov. 23];2(6):257-62. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/3494

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Section

Arquivo Histórico