Gallstone disease other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]

Overview

There are other imaging modalities that can be useful in diagnosing gallstone disease, these include; endoscopic retrograde cholangiopancreatography (ERCP), bile microscopy and oral cholecystography. It should be noted however, that some of these have been replaced by non-invasive, more advanced and less expensive imaging techniques.

Other Imaging Findings

Endoscopic retrograde cholangiopancreatography


Gallstones are seen as filling defects in the gallbladder. Source:wikiwand[4]

Oral cholecystography

  • Oral cholecystography is rarely done since being replaced by the transabdominal ultrasound.[5]
  • It is still occasionally used prognostically to evaluate gall bladder function in obese patients on medical dissolution therapy such as ursodeoxycholic acid where a high quality ultrasound cannot be obtained.

References

  1. Prat F, Amouyal G, Amouyal P, Pelletier G, Fritsch J, Choury AD, Buffet C, Etienne JP (1996). "Prospective controlled study of endoscopic ultrasonography and endoscopic retrograde cholangiography in patients with suspected common-bileduct lithiasis". Lancet. 347 (8994): 75–9. PMID 8538344.
  2. Gurusamy KS, Giljaca V, Takwoingi Y, Higgie D, Poropat G, Štimac D, Davidson BR (2015). "Endoscopic retrograde cholangiopancreatography versus intraoperative cholangiography for diagnosis of common bile duct stones". Cochrane Database Syst Rev (2): CD010339. doi:10.1002/14651858.CD010339.pub2. PMID 25719222.
  3. Tse F, Liu L, Barkun AN, Armstrong D, Moayyedi P (2008). "EUS: a meta-analysis of test performance in suspected choledocholithiasis". Gastrointest. Endosc. 67 (2): 235–44. doi:10.1016/j.gie.2007.09.047. PMID 18226685.
  4. "www.wikiwand.com".
  5. Shea JA, Berlin JA, Escarce JJ, Clarke JR, Kinosian BP, Cabana MD, Tsai WW, Horangic N, Malet PF, Schwartz JS (1994). "Revised estimates of diagnostic test sensitivity and specificity in suspected biliary tract disease". Arch. Intern. Med. 154 (22): 2573–81. PMID 7979854.

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