METHOD FOR SIMULTANEOUS ASSESSMENT (DIAGNOSIS) OF BILIODIGESTIVE AND GASTROENTEROANASTOMOSIS FUNCTION IN PATIENTS AFTER RADICAL AND SALVAGE PROCEDURES FOR CANCER OF HEAD OF PANCREAS Russian patent published in 2014 - IPC A61B6/00 A61K51/00 

FIELD: medicine.

SUBSTANCE: method enables studying gastric, enteric and biliary motor activity in the patients after the radical and salvage procedures for a malignant involvement of the head of pancreas, and functional activity of gastroentero- and biolodigestive anastomoses. That is combined with assessing a radiopharmaceutical agent (RPA) labelled bile passage and a RPA labelled semolina passage to be recorded in a two-detector gamma-chamber. For the purpose of a separate visualisation of the labelled bile and semolina, the triple bile concentration of the RPA is used. A biolodigestive anastomosis is inspected after the intravenous administration of the RPA containing 120 MBq containing Tc-99m isotope 120 MBq. That is followed by a hepatobiliary scintigraphy, a hepatocyte cycle visualization, measuring a bile velocity along the duct and anastomosis. The gastroenteroanastomosis motor activity and patency are assessed by administering RPA labelled 10% semolina 150 ml containing Tc-99m 40 MBq. The biliary and gastrointestinal motion of the labelled compounds is conducted for 120 minutes, wherein every 15 minutes, the patient is placed in the two-detector gamma-chamber for 1 min to visualize the motion of the labelled bile and semolina in front and back projections.

EFFECT: method provides the physiological conditions for the examination in a simultaneous, early, integral, more accurate assessment of gastric, enteric and biliary motor disorders.

3 cl, 4 ex