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Having a Sehcat Scan As an Outpatient

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Having a Sehcat Scan As an Outpatient Medical Physics and Clinical Engineering Department – Information for patients Having a SeHCAT scan as an outpatient A SeHCAT scan is a diagnostic procedure which looks at one aspect of the function of your bowel. SeHCAT stands for selenium homocholic acid taurine and this test involves swallowing a capsule which contains a very small amount of radioactive powder followed by imaging with equipment called a gamma camera. The capsule contains a synthetic bile salt which has been “labelled” so that it is slightly radioactive. Its chemical name is [75Se] tauroselcholic acid. The test shows how well your gut is able to absorb bile salts – whether the bile salts are absorbed normally or if these are being excreted from the gut too quickly. Is it safe for me to have the scan? The small risk from this radiation dose is outweighed by the useful information that will be gained by having the scan. There is a table at the end of the leaflet with radiation risks from various sources. Ask if you want any more information. All investigations are vetted to make sure this is the appropriate test for you. If you don’t understand why you need to have this scan please speak to the doctor who referred you. For female patients Due to the radiation involved, there is a very small risk to an unborn or breastfeeding child. Therefore, it is important that you let us know in advance if you are, or may be, pregnant or are currently breastfeeding. Preparation for your scan The test does not take long, but it requires 3 separate attendances – with two appointments on the first day and another one 7 days later. It is important that you attend each of the appointment times otherwise the test will be inconclusive. Please contact Medical Physics on the number at the end of this leaflet. · If you are having any procedures related to your problem in the week before the first appointment or between the two appointments, · If you are taking any of these drugs which may interfere with the test: o Colesevelam hydrochloride, also called Cholestagel o Colestyramine, also called Questran o Colestipol hydrochloride, also called Colestid · If you are taking any anti-diarrhoea medication please stop taking it one day before the SeHCAT scan as an outpatient, November 2019 SeHCAT scan start of the test and for the following week. If you cannot do this please let us know when you attend for your procedure. Your scan When you arrive in the department you will be given a capsule to swallow with water. There are no side effects from the radioactive capsule. No special precautions are necessary because the radiation dose used is very small, so it is quite safe for you to be near other people. After taking the capsule, you can eat and drink normally. You will be asked to return to the department 3 hours later and then again 7 days later for another set of images. On both appointments, the images are the taken the same way. To take the images, you will be asked to lie flat on your back on a bed and the camera will be above you. The image will take 5 minutes. Then we will ask you to turn over onto your tummy for another 5 minutes. You do not have to undress for this scan but any metal items such as a belt should be removed. You will not be enclosed in a tunnel and you will not be left alone during the scan. After your scan After the images have been taken, you may leave the department. Your results The results of this test will be sent to your consultant who requested the test. Your clinician will discuss what your test result means. Medical Physics Department, Level 1 North Block, Monday to Friday, 9.00 am to 5.00pm. If you have any questions about your treatment, please ask the staff looking after you or telephone 0118 322 7355 (fax: 0118 322 7377) or email: [email protected] For more information about the Trust, visit our website www.royalberkshire.nhs.uk This information can be made available in other languages and formats upon request Physics & Clinical Engineering Department, November 2019 Review due: November 2021 SeHCAT scan as an outpatient, November 2019 2 SeHCAT scan Source of exposure (using RBFT Local DRLs for Nuclear Medicine) Dose Having a dental x-ray 0.005 mSv Eating 100g of Brazil nuts 0.01 mSv Having a chest x-ray 0.014 mSv GFR test with Tc-99m DTPA 0.05 mSv Taking a transatlantic flight 0.08 mSv Lung ventilation 0.2 mSv Bile salt absorption (SeHCAT), MAG3 Renogram (adult dose only) 0.3 mSv DMSA kidney scan (adult dose) 0.7 mSv Oesophageal emptying, gastric emptying, pertechnetate thyroid scan, 0.9 mSv sentinel node (breast) Lung perfusion 1.0 mSv UK annual average radon dose 1.3 mSv CT scan of the head and brain 1.4 mSv Octreotide (In-111), I-123 whole body, HIDA Gall Bladder scan 2.5 mSv UK average annual radiation dose 2.7 mSv Whole body bone scan, two-phase bone scan, GI Bleed 2.9 mSv Parathyroid scan 4.0 mSv Meckel’s scan (Adult dose only) 5.2 mSv CT scan of the chest – CT scan of whole spine 6.6 mSv – 10 mSv Average annual radon dose to people in Cornwall 6.9 mSv Annual exposure limit for health service employees working in radiation 20 mSv Level at which changes in blood cells can be readily observed 100 mSv Acute radiation effects including nausea and a reduction in white blood 1000 mSv cell count SeHCAT scan as an outpatient, November 2019 3 .
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