ISSN:
1437-9813
Keywords:
Key words Technetium Tc-99m disofenin
;
cholescintigraphy
;
Biliary atresia
;
Ultrasonography
;
Neonatal hepatitis
;
Neonatal jaundice
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Technetium Tc-99m disofenin cholescintigraphy (CS) and ultrasonography (US) are two major clinical methods used in differentiating biliary atresia (BA) from neonatal jaundice. To compare the diagnostic utility of these two modalities, 66 patients with neonatal cholestasis (15 BA, 3 choledochal cyst (CC), 32 neonatal hepatitis, 13 prolonged jaundice, 2 total parenteral nutrition, and 1 sepsis) underwent Tc-99m disofenin CS and US. The diagnostic sensitivity, specificity, and accuracy of CS in differentiating BA from other forms of neonatal jaundice was 100%, 87.5%, and 90.5%, respectively, and for US 86.7%, 77.1%, and 79.4%, respectively. Tc-99m disofenin CS after premedication with phenobarbital and cholestyramine is a convenient and reliable method of differentiating BA from neonatal hepatitis, with a diagnostic accuracy superior to that of US. However, US is the initial imaging procedure of choice in patients presenting with jaundice to rule out anatomic anomalies such as CC.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01194798
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