Eriksson B, Emås S, Jacobsson H, Larsson S A, Samuelsson K
Dept. of Clinical Chemistry, Karolinska Hospital, Stockholm, Sweden.
Scand J Gastroenterol. 1988 Jun;23(5):607-10. doi: 10.3109/00365528809093920.
Gastric aspiration and HIDA scintigraphy have been compared to assess duodenogastric bile reflux. Gastric aspiration was performed on two separate occasions with a total examination time of 3 h. The highest 1-h output and the highest concentration of bile acids were recorded. HIDA scintigraphy was carried out for 90 min after an injection of 60 MBq 99mTc-dimethyl-iminodiacetic acid (HIDA). Forty-six patients with different gastrointestinal disorders were studied; 24 patients were positive and 13 negative in both tests. Accordingly, the methods agreed in 37 to 46 patients (80.4%). It is concluded that gastric aspiration is as reliable as HIDA scintigraphy to assess fasting bile reflux.
为评估十二指肠-胃胆汁反流，对胃抽吸术和肝- 吲哚菁绿闪烁扫描术进行了比较。胃抽吸术分两次进行，总检查时间为3小时。记录了最高的1小时胆汁输出量和胆汁酸最高浓度。注射60MBq 99mTc-二甲基亚氨基二乙酸（HIDA）后进行90分钟的HIDA闪烁扫描术。对46例患有不同胃肠道疾病的患者进行了研究；两种检查中24例呈阳性，13例呈阴性。因此，两种方法在37至46例患者中结果一致（80.4%）。得出的结论是，在评估空腹胆汁反流方面，胃抽吸术与HIDA闪烁扫描术一样可靠。
