The Assessment of Gallbladder with Various Fatty Meal in Oral Cholecystography

경구담낭조영술의 지방식에 관한 비교평가

  • Yeon, Jeong-Hum (Department of Diagnostic Radiology, Seoul National University Hospital) ;
  • Kwon, Lee-Seon (Department of Diagnostic Radiology, Seoul National University Hospital) ;
  • Kim, Myung-Sook (Department of Diagnostic Radiology, Seoul National University Hospital) ;
  • Chung, Kyung-Mo (Department of Diagnostic Radiology, Seoul National University Hospital) ;
  • Kim, Hea-Sung (Department of Diagnostic Radiology, Seoul National University Hospital) ;
  • Cheung, Hwan (Department of Diagnostic Radiology, Seoul National University Hospital)
  • 연정흠 (서울대학교병원 진단방사선과) ;
  • 권이선 (서울대학교병원 진단방사선과) ;
  • 김명숙 (서울대학교병원 진단방사선과) ;
  • 정경모 (서울대학교병원 진단방사선과) ;
  • 김해성 (서울대학교병원 진단방사선과) ;
  • 정환 (서울대학교병원 진단방사선과)
  • Published : 1993.05.22

Abstract

However, technical advances in ultrasono imaging have had a remarkable impact on the study of biliary system oral cholecystography is a contrast of the gallbladder which is very frequently performed even with the application of Extra Shock Wave Lithotripsy(ESWL) in clinical use. Oral GB requires a stringent preparation if it is to be fully successful and a considerable amount of time to complete all its procedures and its objects of the radiographs. 1) to obtain a firm diagnosis of the presence of gallstones. 2) to essess function of the gallbladder that is, its ability to concentrate and store bile. After a times sequence of X-ray exposures taken in various positions to show the gallbladder to be satisfactorily filled, the patient is given a fatty meal, for instances two eggs or a cup of milk. The gallbladder which is drained by the cystic duct stores and concentrates the bile and is stimulated to contrast and excrete the bile by hormone "cholecystokinin" secreted in the intestinal mucosa. To evaluate the effect of the fatty meal which caused the gallbladder to constrict and empty, and by so doing the contrast medium passes through the cystic and bile ducts which are shown in radiographs exposed from 15-30 minutes after the variety practice of fattymeal, such as soft-boiled 2 eggs, raw 2 eggs, 100g of peanuts, and 200ml of milk. If the concentration of the opaque medium in the gallbladder is adequate, then not only the size, shape and position of the gallbladder will be shown from firms taken at intervals, the rate of concentration of the opaque medium and of the emptying of gallbladder has been measured and analyzed.

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