Tuesday, March 25, 2014

LIVER BILLIARY TRACT 14 investigations



13.3 INTRAVENOUS CHOLECYSTOGRAPHY

When there is a failure of the gallbladder to be visualized  after
oral cholecystography, intravenous cholecystography is indicated.

*  It  is  also  a  means for  visualization  of  bile  ducts  in
   cholecystomized patients.

*  It is of little value, if bilirubin is greater than 3.5 mg/100
   ml.

13.4 PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAPHY AND ENDOSCOPIC

Retrograde   Cholangiography  are  indicated  in   patient   with
jaundice.

13.5 T-TUBE CHOLANGIOGRAPHY

This is frequently performed in the operating room at the time of
exploration  of the biliary tract with injection of radio  opaque
material either inot the cystic duct or into the T-tube placed in
the common duct.

*  It can also be used in patients postoperatively

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