P.C. Notta, D. Ramal, S. Maisterra, A. Rodríguez Gasen, S. Maymó, A. Sabaté, A. Girbau, J. Guardiola, J. Martín-Comín
{"title":"75Se-SeHCAT腹腔滞留测定在胆汁酸吸收(BAM)早期诊断中的应用","authors":"P.C. Notta, D. Ramal, S. Maisterra, A. Rodríguez Gasen, S. Maymó, A. Sabaté, A. Girbau, J. Guardiola, J. Martín-Comín","doi":"10.1016/j.remngl.2011.03.005","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><p>To evaluate the usefulness of the <sup>75</sup>SeHCAT abdominal retention (AR) measurement in the early diagnosis of diarrhea syndrome (DS).</p></div><div><h3>Methods</h3><p>Thirty-seven patients with diarrhea syndrome within the first month of evolution were prospectively evaluated. The <sup>75</sup>Se-SeHCAT abdominal retention was measured 4 and 7 days post-administration of 0.01<!--> <!-->mCi of <sup>75</sup>SeHCAT. The test was performed prior to treatment and at 3 months when the baseline study was positive. The test was considered positive if the RA was <25% at 4th and <10% on the 7th day. The patients were followed up at 3 months. Depending on the response, 3 groups were established: (a) complete response: normalization of stool frequency, (b) partial response, decrease of frequency and (c) no response.</p></div><div><h3>Results</h3><p>Group A: The AR of <sup>75</sup>Se-SEHCAT was normal in 21 patients. Six were diagnosed of colonic diverticulosis, 8 of irritable bowel syndrome, 1 of lymphocytic colitis, 1 of post-gastroenteritis syndrome, 1 of celiac disease and 1 of stenosis of the cardia. Four are still under study. Group B: The AR of <sup>75</sup>Se-SEHCAT decreased in 16 patients. All showed abnormal AR at day 7 and all but 1 at day 4. Following administration of cholestyramine resin, 8 (50%) presented partial response and 8 presented (50%) complete response. At 3 months, AR had increased at day 4 and 9 at day 7.</p></div><div><h3>Conclusion</h3><p>The measurement of <sup>75</sup>SEHCAT abdominal retention allows the early diagnosis of bile acid malabsorption in 43% of the patients with DS. Measurement at 7 days seems more accurate than that at 4 days.</p></div>","PeriodicalId":101111,"journal":{"name":"Revista Espa?ola de Medicina Nuclear (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.remngl.2011.03.005","citationCount":"0","resultStr":"{\"title\":\"Measurement of 75Se-SeHCAT Abdominal Retention in the Initial Diagnosis of Bile Acid Absorption (BAM)\",\"authors\":\"P.C. Notta, D. Ramal, S. Maisterra, A. Rodríguez Gasen, S. Maymó, A. Sabaté, A. Girbau, J. Guardiola, J. Martín-Comín\",\"doi\":\"10.1016/j.remngl.2011.03.005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Aim</h3><p>To evaluate the usefulness of the <sup>75</sup>SeHCAT abdominal retention (AR) measurement in the early diagnosis of diarrhea syndrome (DS).</p></div><div><h3>Methods</h3><p>Thirty-seven patients with diarrhea syndrome within the first month of evolution were prospectively evaluated. The <sup>75</sup>Se-SeHCAT abdominal retention was measured 4 and 7 days post-administration of 0.01<!--> <!-->mCi of <sup>75</sup>SeHCAT. The test was performed prior to treatment and at 3 months when the baseline study was positive. The test was considered positive if the RA was <25% at 4th and <10% on the 7th day. The patients were followed up at 3 months. Depending on the response, 3 groups were established: (a) complete response: normalization of stool frequency, (b) partial response, decrease of frequency and (c) no response.</p></div><div><h3>Results</h3><p>Group A: The AR of <sup>75</sup>Se-SEHCAT was normal in 21 patients. Six were diagnosed of colonic diverticulosis, 8 of irritable bowel syndrome, 1 of lymphocytic colitis, 1 of post-gastroenteritis syndrome, 1 of celiac disease and 1 of stenosis of the cardia. Four are still under study. Group B: The AR of <sup>75</sup>Se-SEHCAT decreased in 16 patients. All showed abnormal AR at day 7 and all but 1 at day 4. Following administration of cholestyramine resin, 8 (50%) presented partial response and 8 presented (50%) complete response. At 3 months, AR had increased at day 4 and 9 at day 7.</p></div><div><h3>Conclusion</h3><p>The measurement of <sup>75</sup>SEHCAT abdominal retention allows the early diagnosis of bile acid malabsorption in 43% of the patients with DS. Measurement at 7 days seems more accurate than that at 4 days.</p></div>\",\"PeriodicalId\":101111,\"journal\":{\"name\":\"Revista Espa?ola de Medicina Nuclear (English Edition)\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2011-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.remngl.2011.03.005\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista Espa?ola de Medicina Nuclear (English Edition)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1578200X1100026X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Espa?ola de Medicina Nuclear (English Edition)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1578200X1100026X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Measurement of 75Se-SeHCAT Abdominal Retention in the Initial Diagnosis of Bile Acid Absorption (BAM)
Aim
To evaluate the usefulness of the 75SeHCAT abdominal retention (AR) measurement in the early diagnosis of diarrhea syndrome (DS).
Methods
Thirty-seven patients with diarrhea syndrome within the first month of evolution were prospectively evaluated. The 75Se-SeHCAT abdominal retention was measured 4 and 7 days post-administration of 0.01 mCi of 75SeHCAT. The test was performed prior to treatment and at 3 months when the baseline study was positive. The test was considered positive if the RA was <25% at 4th and <10% on the 7th day. The patients were followed up at 3 months. Depending on the response, 3 groups were established: (a) complete response: normalization of stool frequency, (b) partial response, decrease of frequency and (c) no response.
Results
Group A: The AR of 75Se-SEHCAT was normal in 21 patients. Six were diagnosed of colonic diverticulosis, 8 of irritable bowel syndrome, 1 of lymphocytic colitis, 1 of post-gastroenteritis syndrome, 1 of celiac disease and 1 of stenosis of the cardia. Four are still under study. Group B: The AR of 75Se-SEHCAT decreased in 16 patients. All showed abnormal AR at day 7 and all but 1 at day 4. Following administration of cholestyramine resin, 8 (50%) presented partial response and 8 presented (50%) complete response. At 3 months, AR had increased at day 4 and 9 at day 7.
Conclusion
The measurement of 75SEHCAT abdominal retention allows the early diagnosis of bile acid malabsorption in 43% of the patients with DS. Measurement at 7 days seems more accurate than that at 4 days.