Investigation of portosystemic collaterals by scintiphotosplenoportography

• Published in: Kanzo Vol. 27; no. 9; pp. 1323 - 1330
• Main Authors: TANAKA, Hideo, SAITO, Masayuki, TERABAYASHI, Hidetaka, IIDA, Shinji, NOMURA, Fumio, OKUDA, Kunio, OHNISHI, Kunihiko, SAITO, Masaaki
• Format: Journal Article
• Language: Japanese
• Published: The Japan Society of Hepatology 1986
• Subjects: 99mTc-macroaggregated albumin
• ISSN: 0451-4203; 1881-3593
• DOI: 10.2957/kanzo.27.1323

Scintiphotosplenoportography using 99mTc-macroaggregated albumin and ultrasonography were perfomed in 33 patients with chronic liver diseases. In 25 of these patients percutaneous transhepatic portography was also carried out, and in other 8 patients celiac angiography was done. Scintiphotosplenoportography was compared with other image diagnoses in the detection of portosystemic collaterals. Scintiphotosplenoportography detected the left gastric veins in 75% of the patients, the detection rate being significantly better than 32% by ultrasonography. Scintiphotosplenoportography and ultrasonography were almost the same in the detection of the paraumbilical vein, splello-renal shunts and short gastric veins. Scintiphotosplenoportography was performed before and after percutaneous transhepatic variceal obliteration, or endoscopic variceal sclerotherapy in 7 patients with esophageal varices. The effects of the therapy for varices could be assessed from RI images and changes of hepatic shunt index by scintiphotosplenoportography. Thus, scintiphotosplenoportography proved to be a useful diagnostic tool in the investigation of portosystemic collaterals.