Hippéli R, Eibach E
Leber Magen Darm. 1979 Jun;9(3):111-20.
X-ray examination of patients with upper abdominal symptoms has been performed up to now mostly as a sequence of separate procedures; instead, an integrated procedure is recommended: a plain film of the upper abdomen should be taken first; a routine oral cholecystogram in the lying position 12 hrs after intake of the contrast medium should be omitted-instead the gallbladder should be visualized fluoroscopically with the patient remaining in the standing position or lying, and films should be taken during visualization. X-ray examination of the stomach and duodenum may follow immediately thereupon, eventually as well during pharmacologically induced hypotony. Then a fatty meal may be given in order to stimulate contraction of the gallbladder; if spasmolytics have been given before, contraction however might be hampered. The diagnostic significance of fatty meals applied as a routine procedure in X-ray diagnosis of gallbladder function is considered to be limited; on the other hand this procedure may improve the diagnosis of the morphological situation.
迄今为止，对上腹有症状的患者进行X线检查大多是作为一系列单独的程序来进行的；相反，建议采用一种综合程序：应首先拍摄一张上腹部平片；应省略在摄入造影剂12小时后卧位进行的常规口服胆囊造影——取而代之的是，应在患者保持站立位或卧位时通过荧光镜观察胆囊，并在观察期间拍摄片子。随后可立即进行胃和十二指肠的X线检查，最终也可在药物诱导的低血压期间进行。然后可给予一顿高脂肪餐以刺激胆囊收缩；然而，如果之前已经给予了解痉药，收缩可能会受到阻碍。在胆囊功能的X线诊断中，将高脂肪餐作为常规程序的诊断意义被认为是有限的；另一方面，这一程序可能会改善对形态学情况的诊断。
