ORAL--CHOLECYSTOGRAPHY

             Cholecystography / Oral Cholecystography

Definition:
Oral cholecystography is a radiological procedure used to visualize the gallbladder and biliary channels

In which iodinated contrast/tablets is orally administered which is absorbed by the intestine and excreted by the liver into the bile.

Indication :
Gallstones
Gallbladder disease
Obstruction of the bile ducts

Risk Factors :
Contrast reaction
Vomiting
Nausia
Dirhea

Contrast :
Iodine containing tablets (Talipac)

Equipments :
X ray unit



Preparation :
The patient should be fasting for 4 hours

The iodine containing tablets is orally administered before 12 hours of procedure

Procedure :
In which iodinated contrast/tablet is orally administered which is absorbed by the intestine and excreted by the liver into the bile


Filming :

supine AP View (12 hours after taking the Tablets/ Iodinated contrast )

In the case if GALLBLADDER are not seen clearly 

 WE advise patient to take more Iodinated pills &  Return to xray department after 12 hour of consumption.

Case :1

fig..A, A cholecystogram showing the right, left, and common hepatic ducts, cystic duct, gallbladder (the fundus is at the level of L2 vertebra here), and bile duct. 

 fig.. B, The position of the gallbladder is shown by radio-opaque, multifaceted gallstones. The fundus is at the level of the upper portion of the L4 vertebra

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SPECIALLY THANKS 

Mr. KAMLESH MEHTA

ASSOCIATE PROFESSOR

GMCH ,UDAIPUR

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😊 STAY SAFE STAY HAPPY 😊