OUR EXPERIENCE DURING ΤΗΕ LAST TWO YEARS ΟΝ DIAGNOSTIC PROCEDURE FOR CHOLEDOCHOLITHIASJS
Abstract
Ιn a group of 93 patients who were operated for choledocholithiasis, an estimation (comparison) between surgical findings and preoperative I.V. cholangiogram and ultrasound of extrahepatic biliary tract was done. Preoperative I.V. cholangiogram was done in 90 patient and X-rays were positive for lithiasis in 73 patients (sensitivity 82%). Ultrasound was done in 84 and it was positive for lithiasis in 47 patients (56%). Ιn conclusion I.V. cholangiogram has an advandage comparing with ultrasound concerning the investigation of galstones in the CBD.References
Johnson G, Pearce C, Gleen F: I.V. cholangiography in Biliary tract disease Annals of Surgery 1960, 152:91-102.
Beargil R, Hodgson J, Huirenga Κ, Priestley J: Relation of cholangiographic findings to clinical and surgical findings. S.G.O. 1962, 115:143-152.
Beham Μ, Kazan Ε: Sonography of the common bile duct: value of the right anterior oblique view. A.J.R. 1978, 130:701-709.
Roenigsberg Μ, Wiener SN, Walzer Α: The accuracy of sonography in the differential diagnosίs of obstructive jaundice: a comparison with cholangiography. Radiology 1979, 133:157-165.
Dewbury KC, Joseph AEA, Hayes S, Murray C: Ultrasound in the evaluation and diagnosis of jaundice. Br. J Radiol. 1979, 52:276-280.
Vallon AG, Lees WR, Cotton PB: Gray scale ultrasonography in obstractive jaundice. Gut: 1979, 20:51-54.
Malini S, Sabel J: Ultrasonography in obstractive jaundice. Radiology 1977, 123:429-433.
Weinstein BJ, Weintein DP: Biliary tract dilatation in the non-jaundiced patient.. Ά.J.R. 1980, 134:899-906.
Wild SR, Cruikshank JG, Fraser GM, Compand WA, Grieve DC: Grey - scale ultrasonography and percutaneous transhepatic cholangiography in biliary tract dicease, Br Med. J. 1980, 281:1524-1526.
Kune GA, Avni S: The practice of biliary surgery. Oxford: Blackwell Scientific, 1980, 151-157.
Gronan JJ, Mueller PR, Simeone JF et al: Prospective diagnosis of choledocholithiasis. Radiology 1983, 146:467-469.
Gross ΒΗ, Harter LR, Gore RM et al: Ultrasonic evalution of the common bile duct stones. Radiology 1983, 146:471-474.
Laing FC, Jeffrey RB: Choledocholithiasis and cystίc duct obstruction: difficult ultrasonographic diagnosis. Radiology 1983, 146: 475-479.
Einstein DM, Lapin SA, Ralls PW, Halls JM: The insesitivity of sonography in the detection of choledocholithiasis. A.J.R. 1984, 142;725-728.
Gallen PW, Filly RA: Ultrasound in the evalution of patients with right upper quadrant pain. Clin. Diag. Ultrasound 1981, 7:21-32.
Carrol BA: Gallstones: In vitro comparison of physical, radiographic, and ultrasonic characteristics. A.J.R 1978, 131:223-226.
