Abstract | OBJECTIVES: MATERIAL AND METHOD: This is a prospective observational study conducted at our hospital for three years. Totally 40 patients with gallstone were subjected to 99mTc-HIDA scan, to assess the ejection fraction of gallbladder. For all these patients detailed clinical history, presence of comorbid illness like diabetics, and symptomatology were elicited. For all patients, ultrasonogram of abdomen was done to assess number and size of stones. All parameters were tabulated and correlated. RESULT: While comparing 99mTc-HIDA scan findings with symptoms of patients, 21.2% were asymptomatic and 78.8% symptomatic patients who had ejection fraction less than 80%. All patients in EF >80% group were symptomatic only. It is not statistically significant. On comparing 99mTc-HIDA scan findings with diabetic status of the patients, 42.4% of diabetic and 57.6 % of nondiabetic patients had ejection fraction less than 80%. It is not statistically significant (0.681). While comparing 99mTc-HIDA scan findings with size of the gallstone in ultrasound, 63.6% patients with size less than 1cm and 36.4% with size more than 1cm had ejection fraction < 80%. It is statistically significant (0.048). On comparing 99mTc-HIDA scan findings with number of stones in ultrasound, 18.2% single gallstone patients and 81.8% multiple gallstone patients had EF less than 80% which is statistically significant (0.001). While comparing the 99mTc-HIDA scan findings with histopathology report after laparoscopic cholecystectomy, 21.2% non- cholecystitis patients and 78.8% cholecystitis patients had EF less than 80%, which is statistically (0.017) significant. CONCLUSION:
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Authors | Manuneethimaran Thiyagarajan, Eniyan Kamaraj, Nitesh Navrathan, Mohanapriya Thyagarajan, Balaji Singh Krishna |
Journal | Minimally invasive surgery
(Minim Invasive Surg)
Vol. 2019
Pg. 5705039
( 2019)
ISSN: 2090-1445 [Print] United States |
PMID | 30906595
(Publication Type: Journal Article)
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