[Alteration of cholecystography by intravenous administration of glucose and fructose in experimental lesions of the liver in rabbits].
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These methods were employed in examinations of 55 patients with various gastrointestinal diseases. The findings of both methods coincided in assessment of gallbladder kinetic function in 36 (66%) patients. In 19 (34%) patients the results did not coincide, in 9 of them multi-moment chromatic duodenal intubation with xylite stimulation has yielded overstated results, and in the remaining 10 patients gallbladder hyperfunction was detected by x-ray examination after egg yolk stimulation. Individual reactions of the body may be responsible for this discrepancy; other explanations are unstable pathologic dysfunction of the gallbladder and the psychoemotional status of patients during the examination.
Authors--beside the admission of ultrasound examination's obvious priority--do not think that the complete cease of the gall-bladder's X-ray examination is reasonable. They have been found this on the basis of the literature and their own observations. Authors suggest the gall-bladder's examination after a negative ultrasound, if the complaints of the patient are unchanged.
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Direct cholegraphy was performed after laparoscopic cholecystostomy in 82 patients. It should be conducted on the operating table if proper fixation of the draining tube is doubtful, but, mainly, on the fourth or fifth postoperative day. Double contrasting of the biliary tract with air and a contrast medium produces the best result.