Performance and Reliability of Cholecystography

Sf, Ochsner

doi:10.1097/00007611-197011000-00017

Cited by 15 publications

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“…Oral cholecystography with its very high accuracy rate [24,25] remains the primary diagnostic tool for the evaluation of gallbladder disease. Gallbladder ultrasonography is important and becomes the diagnostic procedure of choice when there is nonvisualization by oral cholecystography.…”

Section: U L T R a S O N O G R A P H Y O F T H E G A L L B L A D D E mentioning

confidence: 99%

Ultrasound evaluation of the nonvisualized gallbladder

Azimi

Marangola

Bryan

1976

Gastrointest Radiol

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Abstract. Grey-scale ultrason.ography is a relatively new diagnostic modality which can be employed to evaluate the cholecystographically nonvisualized gallbladder and the jaundiced patient. The procedure is simple to perform and causes no discomfort to the patient. Ultrasonography can detect gallstones and differentiate obstructive (surgical) from hepatocellular (medical) jaundice. Frequently, it is also instrumental in diagnosing the cause o f biliary obstruction in the patient with obstructive jaundice. Eleven illustrative cases are presented in which ultrasonography played a key role in establishing the correct diagnosis.Key words: Biliary tract, obstruction -Gallbladder, calculi -Gallbladder, ultrasound. AnatomyThe normal gallbladder is usually closely applied to the inferior surface of the right lobe o f the liver.Ultrasound is a useful diagnostic tool in evaluating the gallbladder which is inadequately visualized by oral cholecystography [1 5]. This noninvasive procedure is simple to perform and causes no discomfort to the p~/tient. Ultrasonography of the cholecystographically not visualized gallbladder is possible, because this diagnostic modality depends only on the morphology and acoustic characteristics of the gallbladder and is independent of hepatic and biliary functions. The bile-filled gallbladder can readily be demonstrated by ultrasound in most patients. A 92-98% visualization rate has been reported in normal fasting individuals [2,[5][6][7][8]. We would like to demonstrate the efficacy of this technique by presenting a number of illustrative cases in which gallbladder ultrasonography played a key role in establishing the correct diagnosis.

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Section: U L T R a S O N O G R A P H Y O F T H E G A L L B L A D D E mentioning

confidence: 99%

Ultrasound evaluation of the nonvisualized gallbladder

Azimi

Marangola

Bryan

1976

Gastrointest Radiol

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Dobranowski

Stringer

Somers

et al. 1990

Procedures in Gastrointestinal Radiology

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Detection of gallbladder disease in patients with normal oral cholecystograms

Foss

Laing

1977

Digest Dis Sci

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An endoscopic biliary drainage technique was used in the study of 70 patients. All had histories suggestive of gallbladder disease but with normal oral cholecystograms. Of the 29 patients with abnormal drainage studies, 26 had cholecystectomy with all specimens showing cholecystitis, and cholelithiasis was seen in 46%. Five of the 41 patients with normal drainages underwent cholecystectomy, with no abnormality noted in any surgical specimen. Significant differences were seen when the mean WBC count, frequency of leukocytosis, and back pain were compared between the normal and abnormal drainage groups. Biliary drainage is a useful supplemental test when a false-negative oral cholecystogram is suspected.

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Performance and Reliability of Cholecystography

Cited by 15 publications

References 0 publications

Ultrasound evaluation of the nonvisualized gallbladder

Ultrasound evaluation of the nonvisualized gallbladder

Special Procedures

Detection of gallbladder disease in patients with normal oral cholecystograms

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