Biliodigestive anastomosis

The formation of biliodigestive anastomosis is widely used in the surgical treatment of diseases of the biliary tract, operations on the liver and pancreas. 

Biliodigestive anastomosis is a kind of" conductor " for the outflow of bile and does not have a sphincter apparatus.  The Loginov Moscow Research Center uses modern methods to assess the function and diagnose complications in this area: computed tomography, MRI/MRCPG, RCPG under the control of RTV, ultrasound and hepatobiliscintigraphy with 99mTc-Bromeside.

The laboratory of radionuclide research methods has developed a unique method for non-invasive assessment of the function of the hepatobiliary zone in patients with biliodigestive anastomoses. 

Indications for hepatobiliscintigraphy:

  • diagnosis of the function of biliodigestive anastomosis, regardless of the period of its formation
  • diagnosis of early and late postoperative complications in the formation of biliodigestive anastomosis
  • assessment of the function of choledochus in the presence of stricture

Relative contraindications to hepatobiliscintigraphy:

  • pregnancy
  • hyperbilirubinemia above 100mmol / L

Allergic reactions to the drug administered during hepatobiliscintigraphy were not recorded (the drug has been used since 1976).
The developed method is successfully used in dynamic observation. At the same time, this method has practically no contraindications, has a low radiation load (less than 1 mSv), and allergic reactions to the drug used have not been recorded. In addition, the software of our equipment allows you to combine the resulting image with MRI/CT studies and obtain a hybrid image that is necessary for surgeons to plan further treatment tactics.

GBUZ Moscow Clinical Scientific Center named after Loginov MHD