AffiliationDepartment of Academic Surgery, National University of Ireland, Cork University, Hospital, Cork, Ireland. firstname.lastname@example.org
Aged, 80 and over
Biliary Tract Diseases/surgery/*ultrasonography
Sensitivity and Specificity
MetadataShow full item record
CitationBr J Surg. 2002 Nov;89(11):1402-4.
JournalThe British journal of surgery
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.
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- Ultrasonographic patterns of hepatobiliary mass lesions.
- Authors: Agrawal AK, Singh NK, Yadav KN
- Issue date: 1992 Aug
- The impact of surgeon-based ultrasonography for parathyroid disease on a British endocrine surgical practice.
- Authors: Aspinall SR, Nicholson S, Bliss RD, Lennard TW
- Issue date: 2012 Jan
- Clinical indications and accuracy of gray scale ultrasonography in the patient with suspected biliary tract disease.
- Authors: Prian GW, Norton LW, Eule J Jr, Eiseman B
- Issue date: 1977 Dec
- Three-dimensional ultrasonography in hepatobiliary and pancreatic diseases.
- Authors: Sackmann M, Pauletzki J, Zwiebel FM, Holl J
- Issue date: 1994 Jun