Chronic cholecystitis screening

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2], Furqan M M. M.B.B.S[3]

Overview

There is insufficient evidence to recommend routine screening for chronic cholecystitis. However, screening ultrasound can be used in children presenting with abdominal pain. Bile amylase concentration may also be a useful screening tool for chronic cholecystitis.

Screening

There is insufficient evidence to recommend routine screening for chronic cholecystitis. However, screening may be considered in the following scenarios:[1][2][3]

  • Point of care ultrasound can be used as a screening tool in pediatric cholecystitis, where children present with abdominal pain.
  • In critically ill patients, ultrasound has insufficient evidence to be a sensitive screening test for acalculous cholecystitis.
  • For chronic cholecystits due to pancreatic biliary reflux, bile amylase concentrations may be a useful screening tool.

References

  1. Tsung JW, Raio CC, Ramirez-Schrempp D, Blaivas M (2010). "Point-of-care ultrasound diagnosis of pediatric cholecystitis in the ED". The American Journal of Emergency Medicine. 28 (3): 338–42. doi:10.1016/j.ajem.2008.12.003. PMID 20223393. Retrieved 2012-08-20. Unknown parameter |month= ignored (help)
  2. Puc MM, Tran HS, Wry PW, Ross SE (2002). "Ultrasound is not a useful screening tool for acute acalculous cholecystitis in critically ill trauma patients". The American Surgeon. 68 (1): 65–9. PMID 12467321. Unknown parameter |month= ignored (help); |access-date= requires |url= (help)
  3. Amr AR, Hamdy HM, Nasr MM, Hedaya MS, Hassan AM (2012). "Effect of pancreatic biliary reflux as a cofactor in cholecystitis". Journal of the Egyptian Society of Parasitology. 42 (1): 121–8. PMID 22662601. Unknown parameter |month= ignored (help); |access-date= requires |url= (help)




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