20. Patients With Positive 75SeHCAT Scans: a Single Health Board Experience

Al-Azzawi, M., Darnborough, S., Devlin, L., Bolster, A. and Han, S. (2022) 20. Patients With Positive 75SeHCAT Scans: a Single Health Board Experience. British Nuclear Medicine Society Spring Meeting 2022, Glasgow, UK, 16-18 May 2022. p. 585. (doi: 10.1097/MNM.0000000000001555)

Abstract

Aim: To identify patients with a positive 75SeHCAT scan and review their symptoms of bile acid malabsorption (BAM) and risk factors. Methods: All positive 75SeHCAT scans that were done at our trust from January 2015 to March 2020. Were included. Results: A total of 40 patients had a positive result. The mean age at diagnosis was 50y. 75% (n=30) of patients were females. The mean duration of symptoms was 4 years (range: 1-11 years). Patients reported an average of 9 bowel movement a day (range: 3-20 movement/day). The majority of scans with a positive result were requested by the gastroenterology team, followed by the oncology team as part of the “pelvic radiotherapy late effects service”, followed by the surgical team. 75% (n=30) had a severe BAM (retention <5%). 40% (n=15) had a previous pelvic radiotherapy, while 30% (n=12) had a previous cholecystectomy. 35% (n=14) had been labelled as IBS prior to their 75SeHCAT scan results. Excluding the patients with previous radiotherapy, the patients had an average of 4 clinic (range: 1-10 clinic) prior to getting a 75SeHCAT scan requested, due to the difficulties in obtaining one in the trust. Conclusion: 75SeHCAT scan is a useful test in diagnosing BAM. It is important to identify patients who have the risk factors for developing BAM and investigate them accordingly.

• Item Type: Conference or Workshop Item
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Bolster, Dr Alison and Han, Dr Sai
• Authors: Al-Azzawi, M., Darnborough, S., Devlin, L., Bolster, A., and Han, S.
• College/School: College of Medical Veterinary and Life Sciences > School of Infection & Immunity
• ISSN: 0143-3636