Clinical and Experimental Pediatrics

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All issues > Volume 20(8); 1977

Original Article
J Korean Pediatr Soc. 1977;20(8):613-620. Published online August 31, 1977.
I131 Rose Bengal Liver Scanning.
Chang Jun Coe1, Jae Song Kim1, Jae Seung Lee1, Byung Soo Kim1, Duk Jin Yun1
1Department of Pediatrics, Yonsei University College of Medicine, Korea.
Abstract
This is a clinical study of I131 Rose Bengal liver scanning on 17 in-patients with jaundice hospitalized at Severance hospital from October 1969 to March 1976. And we observed following results. 1) In 13 patients, the liver scanning showed complete biliary obstructive pattern, in 2 patients partial obstruction and two had space occupying lesions. Of the 13 patients with complete obstruction, 7 cases had biliary atresia and 6 cases.had neonatal hepatitis. We conclude that the obstructiive pattern of liver scanning does not always mean biliary atresia. 2) The quantitative calculation of the dye excretion in stool at 72 hours after IV infusions was made and only 0.447% of dye was excreted at 48 hours in biliary atresia. In 2 patients with hepatitis, the amount were 16.2% and 26.5% respectively. The quantitative study of radioactive dye excretion should be followed further evaluation. 3) Particularly in the patient with choledochal cyst and hepatoblastoma, the liver scanning was very helpful as it provided not only diagnostic information but also the anatomic site and size of the pathologic lesion.

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