Preoperative Cholangiography or Intravenous Cholangiography cholangiography is done before the cholecystectomy for suspected gallbladder stone or common bile duct stone which have not been visualized in the oral cholecystography Cholang »graphy is done to visualize the Biliary tract when the oral method was failed due to poor intestinal absorption of oral contrast media, 3 Indication- ¢ Suspect cholelithiasis ¢ Suspect neoplasm * Suspect biliary duct stenosis and obstruction : | Cholangiography is the radiographic study of the biliary tract after introducing of contrast media to evaluate biliary tract abnormalities. The preoperative ¢ Oral cholecystography not succeedtive Cholangiograph: ntral e Hypersensitivity to Iodine « Suspected pregnancy ¢ Hepatocellular disease (liver carcinoma, liver hepatitis, liver cirhosis) e Renal impairment e Oral cholecystography had done within a week Equipment- e Xray machine with fluoroscopy unit, spot film device e lodinated Contrast media Biligram (loglycamide),IV cholecystopaque or cholografin « These are water soluble contrast media excreted by liver. e Syringe « Gauze « Antiseptic solution Patient preparation- ¢ Describe the whole procedure to patient. e Two days prior the examination fat free diet suggested to patient. e Asked the patient not to eat or drink after midnight. Fasting may be employed for 6-8 hours. Patient previous history and Pre-procedure investigations must be Y reviewed by the radiologist- e Abdomen x ray report ¢ Blood Urea ¢ Serum creatinine= Procedure- » On the day of examination- 1. Technologist should obtain consent from the patient for permission ot procedure. 2. Ask the patient to remove clothing and wear Hospital gown g 3. Place the patient in supine position on the fluroscopic table. 4. An Intravenous line is inserted into patient arm and lodinated Contrast media given through line by drip infusion or very slow hand injection of. lodinated Contrast media may be given into patient arm. 5. The radiographs are taken after four hours of inj positions 6. Like RPO, LAO, right lateral decubitus. Oblique position is preferred because it displaced the vertebrae away from gallbladder. ion in various routine I Complication- After the examination, the patient may experience cramping in the stomach, mild skin rashes itching or nausea 5 Aftercare- Patient is suggested to intake plenty of water to eliminate contrast media from body