Gallbladder scintigraphy – Holestsintigrafiya – Radiation scanning gallbladder – HIDA-scan
Description holestsintigrafii
Scintigraphy provides images of the gallbladder and biliary tract.
Bile – fluid, which is produced in the liver. It is stored in the bile duct. This fluid helps the body absorb certain foods. If there are problems with production or flow of bile, HIDA-scan may find the problem.
Reasons for holestsintigrafii
This test is conducted to:
- Find the cause of jaundice (xanthochromia) or abdominal pain;
- Diagnose suspected gallbladder disorders – inflammation, perforations, stones or other locking;
- Check bile after surgery.
The test can not be performed for patients, who are pregnant.
How is the gallbladder ctsintigrafiya?
Preparation for the procedure
- It is necessary to ensure, that the doctor is aware of medications taken by the patient. Taking some of them must be terminated or adjusted maximum dose. Your doctor may prescribe as the admission of new drugs;
- No less than four hours before the test is necessary to stop eating.
In the hospital
- A doctor familiar with the medical history and perform a physical exam;
- The doctor determined the procedure of the test;
- We must remove all jewelry and other metal objects;
- The patient to dress in special clothing;
- Before the procedure, it is desirable to visit the toilet.
Procedure gallbladder scintigraphy
The patient lay down on his back. An important condition – You need to lie still during the entire test time. The doctor injected into a vein drug, containing a radioactive substance indicator. Children and some adults may also be given sedatives, to remain calm. Examinees are placed in a special chamber, with which to track the path of movement of radiolabel in the liver, gall bladder and bile ducts. Every 5-10 minutes for an hour made the belly photos. In some cases, the pictures must be made 2, 4, or 24 hours after injection.
Some patients have to take morphine, which causes spasms and allows you to get a clearer picture of the state of the gallbladder. It may also be given fatty foods and choleretic (egg yolk, sandwich with butter and cheese, banana) to check the digestive process in the intestines near the gallbladder and liver.
After passing scintigraphy
- Most people after the test can return to daily activities;
- Admission of additional liquid for two days to withdraw faster radioactive drug from organism. Usually, the body is cleared for 6-24 hours;
- It is necessary to double flush the toilet and wash their hands thoroughly for several days after testing;
- It is necessary to keep the injection site clean and dry. Pay attention to signs of infection.
How long does the procedure of scintigraphy?
60-90 minutes
Will it hurt?
Possible mild discomfort during the injection, which may continue for some time. Implementation of the photos does not cause pain.
The results of scintigraphy
The doctor is looking for traces of a radioactive tracer or dark places for taking photographs. Normal results – when the radioactive drug moves freely through the bile ducts. Problems, such as the blockade, leak, or inflammation may be suspected, if the radioactive drug moves slowly through the bile system, not visible in photographs or other visible areas. As a result of scanning a doctor can prescribe appropriate treatment.
It is necessary to go to the hospital in the following cases
- There are signs of infection, including fever and chills;
- Redness, edema, bleeding or separation around the injection site on the skin;
- Joint pain, fatigue, constraint, rash, or other symptoms of allergic reactions.