Difference between revisions of "Fluoroscopic control of gallbladder drains"
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==Procedure== | ==Procedure== | ||
*Take an initial anteroposterior image including the presumed locations of the gallbladder and common bile duct. | *Take an initial anteroposterior image including the presumed locations of the gallbladder and common bile duct. | ||
| − | *Infuse iodinated contrast, usually amounting to approximately | + | *Infuse iodinated contrast, usually amounting to approximately 5g of iodine (or about 20 ml of concentration 240mg/ml, but can possibly be multiple times more), and note the following: |
:*Location of the tip of the drain in relation to the gallbladder | :*Location of the tip of the drain in relation to the gallbladder | ||
:*Flow into the duodenum, or most distal part reached. | :*Flow into the duodenum, or most distal part reached. | ||
Revision as of 18:22, 19 February 2019
Author:
Mikael Häggström [notes 1]
Procedure
- Take an initial anteroposterior image including the presumed locations of the gallbladder and common bile duct.
- Infuse iodinated contrast, usually amounting to approximately 5g of iodine (or about 20 ml of concentration 240mg/ml, but can possibly be multiple times more), and note the following:
- Location of the tip of the drain in relation to the gallbladder
- Flow into the duodenum, or most distal part reached.
- Any visible dilatation of the biliary tract
- Any contrast outside the drain or biliary tract, including leakage along the outside of the drain.
- Any visible stones in the gallbladder or bile duct
Drain malposition
If the drain is partially pulled out, it can be pushed into place, preferably with a hydrophilic guidewire.
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.
