Emergency surgeon-performed hepatobiliary ultrasonography.

Hdl Handle:
http://hdl.handle.net/10147/209016
Title:
Emergency surgeon-performed hepatobiliary ultrasonography.
Authors:
Kell, M R; Aherne, N J; Coffey, C; Power, C P; Kirwan, W O; Redmond, H P
Affiliation:
Department of Academic Surgery, National University of Ireland, Cork University, Hospital, Cork, Ireland. malcolmkell@eircom.net
Citation:
Br J Surg. 2002 Nov;89(11):1402-4.
Journal:
The British journal of surgery
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209016
DOI:
10.1046/j.1365-2168.2002.02297.x
PubMed ID:
12390381
Abstract:
BACKGROUND: Acute hepatobiliary pathology is a common general surgical emergency referral. Diagnosis requires imaging of the biliary tree by ultrasonography. The accuracy and impact of surgeon-performed ultrasonography (SUS) on the diagnosis of emergent hepatobiliary pathology was examined. METHODS: A prospective study, over a 6-month period, enrolled all patients with symptoms or signs of acute hepatobiliary pathology. Patients provided informed consent and underwent both SUS and standard radiology-performed ultrasonography (RUS). SUS was performed using a 2-5-MHz broadband portable ultrasound probe by two surgeons trained in ultrasonography, and RUS using a 2-5-MHz fixed unit. SUS results were correlated with those of RUS and pathological diagnoses. RESULTS: Fifty-three consecutive patients underwent 106 ultrasonographic investigations. SUS agreed with RUS in 50 (94.3 per cent) of 53 patients. SUS accurately detected cholelithiasis in all but two cases and no patient was inaccurately diagnosed as having cholelithiasis at SUS (95.2 per cent sensitivity and 100 per cent specificity). As an overall complementary diagnostic tool SUS provided the correct diagnosis in 96.2 per cent of patients. Time to scan was significantly shorter following SUS (3.1 versus 12.0 h, P < 0.05). CONCLUSION: SUS provides a rapid and accurate diagnosis of emergency hepatobiliary pathology and may contribute to the emergency management of hepatobiliary disease.
Language:
eng
MeSH:
Adolescent; Adult; Aged; Aged, 80 and over; Biliary Tract Diseases/surgery/*ultrasonography; Clinical Competence/standards; Emergencies; Female; Humans; Liver Diseases/surgery/*ultrasonography; Male; Middle Aged; Prospective Studies; Sensitivity and Specificity
ISSN:
0007-1323 (Print); 0007-1323 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorKell, M Ren_GB
dc.contributor.authorAherne, N Jen_GB
dc.contributor.authorCoffey, Cen_GB
dc.contributor.authorPower, C Pen_GB
dc.contributor.authorKirwan, W Oen_GB
dc.contributor.authorRedmond, H Pen_GB
dc.date.accessioned2012-02-03T15:10:00Z-
dc.date.available2012-02-03T15:10:00Z-
dc.date.issued2012-02-03T15:10:00Z-
dc.identifier.citationBr J Surg. 2002 Nov;89(11):1402-4.en_GB
dc.identifier.issn0007-1323 (Print)en_GB
dc.identifier.issn0007-1323 (Linking)en_GB
dc.identifier.pmid12390381en_GB
dc.identifier.doi10.1046/j.1365-2168.2002.02297.xen_GB
dc.identifier.urihttp://hdl.handle.net/10147/209016-
dc.description.abstractBACKGROUND: Acute hepatobiliary pathology is a common general surgical emergency referral. Diagnosis requires imaging of the biliary tree by ultrasonography. The accuracy and impact of surgeon-performed ultrasonography (SUS) on the diagnosis of emergent hepatobiliary pathology was examined. METHODS: A prospective study, over a 6-month period, enrolled all patients with symptoms or signs of acute hepatobiliary pathology. Patients provided informed consent and underwent both SUS and standard radiology-performed ultrasonography (RUS). SUS was performed using a 2-5-MHz broadband portable ultrasound probe by two surgeons trained in ultrasonography, and RUS using a 2-5-MHz fixed unit. SUS results were correlated with those of RUS and pathological diagnoses. RESULTS: Fifty-three consecutive patients underwent 106 ultrasonographic investigations. SUS agreed with RUS in 50 (94.3 per cent) of 53 patients. SUS accurately detected cholelithiasis in all but two cases and no patient was inaccurately diagnosed as having cholelithiasis at SUS (95.2 per cent sensitivity and 100 per cent specificity). As an overall complementary diagnostic tool SUS provided the correct diagnosis in 96.2 per cent of patients. Time to scan was significantly shorter following SUS (3.1 versus 12.0 h, P < 0.05). CONCLUSION: SUS provides a rapid and accurate diagnosis of emergency hepatobiliary pathology and may contribute to the emergency management of hepatobiliary disease.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshBiliary Tract Diseases/surgery/*ultrasonographyen_GB
dc.subject.meshClinical Competence/standardsen_GB
dc.subject.meshEmergenciesen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshLiver Diseases/surgery/*ultrasonographyen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshProspective Studiesen_GB
dc.subject.meshSensitivity and Specificityen_GB
dc.titleEmergency surgeon-performed hepatobiliary ultrasonography.en_GB
dc.contributor.departmentDepartment of Academic Surgery, National University of Ireland, Cork University, Hospital, Cork, Ireland. malcolmkell@eircom.neten_GB
dc.identifier.journalThe British journal of surgeryen_GB
dc.description.provinceMunster-

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