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Hepatobiliary scintigraphy in the study of complications in adult patients after liver transplant. Description of the experience

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dc.creatorVélez-Gutierrez C.spa
dc.creatorGutierrez-Villamil C.spa
dc.creatorArevalo-Leal S.spa
dc.creatorMejía-Hernandez G.spa
dc.creatorMarín-Oyaga V.spa
dc.date.accessioned2020-05-26T00:00:11Z
dc.date.available2020-05-26T00:00:11Z
dc.date.created2019spa
dc.description.abstractObjective: To show the experience of the use of hepatobiliary scintigraphy in patients with suspected complications after liver transplantation in a high complexity centre. Material and method: Retrospective, observational and descriptive study. All consecutive adult patients with liver transplantation between January 2013 and February 2018 were included, with one or more hepatobiliary scintigraphy during the early or late postoperative period. A total of 58 studies were analyzed in 38 patients (22 men and 16 women). Mean age: 48 years. In 34/38: cadaverous donor (89%), and in 4 (11%): a living donor. Demographic data and relevant information regarding the transplant were obtained, and the result was related to the surgical findings to determine the correlation between them. The influence of the test on the final clinical decisions was evaluated. Results: Findings: 9 scans (14%) were normal, 36 studies were negative, and 21 were positive for biliary complications. Of the total of 58 studies, 50 (86%) had impact on the clinical behaviour of observation or intervention. All the patients with findings of biliary complications (21/21; 100%) had clinical repercussion since 18/21 patients were taken to invasive studies or treatments, and 3/21 patients continued in medical management for findings of non-surgical biliary complications. In 14/18 patients taken to studies or procedures, correlation was found with the scintigraphic study. In 24/36 (66%) of patients with negative scintigraphy, an impact on clinical behaviour was found. Conclusion: Hepatobiliary scintigraphy is a simple, non-invasive, reliable, current and available form for the early study of biliary complications in patients with liver transplantation. Important hepatocellular dysfunction should be taken into account as a frequent cause of false negative studies. © 2019 Sociedad Española de Medicina Nuclear e Imagen Molecularspa
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.remn.2019.02.006
dc.identifier.issn2253654X
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23174
dc.language.isospaspa
dc.publisherEdiciones Doyma, S.L.spa
dc.relation.citationEndPage211
dc.relation.citationIssueNo. 4
dc.relation.citationStartPage207
dc.relation.citationTitleRevista Espanola de Medicina Nuclear e Imagen Molecular
dc.relation.citationVolumeVol. 38
dc.relation.ispartofRevista Espanola de Medicina Nuclear e Imagen Molecular, ISSN:2253654X, Vol.38, No.4 (2019); pp. 207-211spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85064325159&doi=10.1016%2fj.remn.2019.02.006&partnerID=40&md5=2df0ae319d257e1a2b3ea0fa250d605dspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAdultspa
dc.subject.keywordendoscopic retrogradeeng
dc.subject.keywordClinical articlespa
dc.subject.keywordClinical decision makingspa
dc.subject.keywordControlled studyspa
dc.subject.keywordDemographyspa
dc.subject.keywordFemalespa
dc.subject.keywordHealth care managementspa
dc.subject.keywordHepatobiliary scintiscanningspa
dc.subject.keywordHumanspa
dc.subject.keywordLiver transplantationspa
dc.subject.keywordLiving donorspa
dc.subject.keywordMalespa
dc.subject.keywordMiddle agedspa
dc.subject.keywordObservational studyspa
dc.subject.keywordPersonal experiencespa
dc.subject.keywordPostoperative periodspa
dc.subject.keywordRetrospective studyspa
dc.subject.keywordContrast medium extravasationspa
dc.subject.keywordDiagnostic imagingspa
dc.subject.keywordDonorspa
dc.subject.keywordEndoscopic retrograde cholangiopancreatographyspa
dc.subject.keywordHepatobiliary systemspa
dc.subject.keywordIntrahepatic cholestasisspa
dc.subject.keywordLiverspa
dc.subject.keywordPostoperative complicationspa
dc.subject.keywordProceduresspa
dc.subject.keywordScintiscanningspa
dc.subject.keywordSingle photon emission computed tomography-computed tomographyspa
dc.subject.keywordAdultspa
dc.subject.keywordBiliary tractspa
dc.subject.keywordCholangiopancreatographyeng
dc.subject.keywordCholestasiseng
dc.subject.keywordClinical decision-makingspa
dc.subject.keywordExtravasation of diagnostic and therapeutic materialsspa
dc.subject.keywordFemalespa
dc.subject.keywordHumansspa
dc.subject.keywordLiverspa
dc.subject.keywordLiver transplantationspa
dc.subject.keywordMalespa
dc.subject.keywordMiddle agedspa
dc.subject.keywordPostoperative complicationsspa
dc.subject.keywordPostoperative periodspa
dc.subject.keywordRadionuclide imagingspa
dc.subject.keywordRetrospective studiesspa
dc.subject.keywordSingle photon emission computed tomography computed tomographyspa
dc.subject.keywordTissue donorsspa
dc.subject.keywordBiliary complicationsspa
dc.subject.keywordHepatobiliary scintigraphyspa
dc.subject.keywordLiver transplantationspa
dc.titleHepatobiliary scintigraphy in the study of complications in adult patients after liver transplant. Description of the experiencespa
dc.title.TranslatedTitleGammagrafía hepatobiliar en el estudio de las complicaciones del trasplante hepático en adultos. Descripción de la experienciaspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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