What is the role of nuclear imaging in the workup of postcholecystectomy syndrome (PCS)?

Updated: Jul 24, 2020
  • Author: Steen W Jensen, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Nuclear imaging may demonstrate a postoperative bile leak. Occasionally, a HIDA scan or similar scintigraphic study may show delayed emptying or a prolonged half-time, but these studies lack the resolution necessary to identify dilation, stricture, and so on. Emptying delayed by more than 2 hours or a prolonged half-time can help identify the sphincter of Oddi as a potential cause but cannot differentiate between stenosis and dyskinesia.

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