Abstract
To the Editor.— I have read with interest the article by Venu et al and the accompanying editorial on ERCP by Drs Craig and Clayman (1983; 249:783). I was surprised that in neither of the articles mention is made of the role of cholescintigraphy using technetium Tc 99m-labeledN-substituted derivatives of iminodiacetic acid (IDA). Since these agents were introduced for clinical use in the mid-1970s, numerous publications in reputable journals of general medicine, gastroenterology, nuclear medicine, and radiology concur that cholescintigraphy is currently the most sensitive and specific noninvasive test in the diagnosis of acute cholecystitis.1-3In addition, cholescintigraphy can be useful in the evaluation of chronic cholecystitis and other biliary disorders.4,5 I recently reviewed the literature on hepatobiliary scintigraphy for a medical grand rounds presentation in our hospital; because of the availability, safety, simplicity, plus sensitivity and specificity of almost 100% in all the series,1-3
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