Gallstone disease other imaging findings: Difference between revisions

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== Other Imaging Findings ==
== Other Imaging Findings ==
*Endoscopic Retrograde Cholangiopancreatography (ERCP): most sensitive/specific for common bile duct (CBD) stones
*Magnetic Resonance Cholangiopancreatography (MRCP): diagnostic accuracy equivalent to ERCP, but not therapeutic  
*Magnetic Resonance Cholangiopancreatography (MRCP): diagnostic accuracy equivalent to ERCP, but not therapeutic  
*Hepatobiliary Iminodiacetic Acid (HIDA) scan: highly sensitive for acute cholecytitis
*Cholescintigraphy (HIDA scan): The patient is injected with a small amount of nonharmful radioactive material that is absorbed by the gallbladder, which is then stimulated to contract. The test is used to diagnose abnormal contraction of the gallbladder or obstruction of the bile ducts.
*Endoscopic retrograde cholangiopancreatography (ERCP): ERCP is used to locate and remove stones in the bile ducts. After lightly sedating you, the doctor inserts an endoscope—a long, flexible, lighted tube with a camera—down the throat and through the stomach and into the small intestine. The endoscope is connected to a computer and video monitor. The doctor guides the endoscope and injects a special dye that helps the bile ducts appear better on the monitor. The endoscope helps the doctor locate the affected bile duct and the gallstone. The stone is captured in a tiny basket and removed with the endoscope.


==References==
==References==

Revision as of 13:46, 4 September 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Other Imaging Findings

  • Magnetic Resonance Cholangiopancreatography (MRCP): diagnostic accuracy equivalent to ERCP, but not therapeutic
  • Cholescintigraphy (HIDA scan): The patient is injected with a small amount of nonharmful radioactive material that is absorbed by the gallbladder, which is then stimulated to contract. The test is used to diagnose abnormal contraction of the gallbladder or obstruction of the bile ducts.
  • Endoscopic retrograde cholangiopancreatography (ERCP): ERCP is used to locate and remove stones in the bile ducts. After lightly sedating you, the doctor inserts an endoscope—a long, flexible, lighted tube with a camera—down the throat and through the stomach and into the small intestine. The endoscope is connected to a computer and video monitor. The doctor guides the endoscope and injects a special dye that helps the bile ducts appear better on the monitor. The endoscope helps the doctor locate the affected bile duct and the gallstone. The stone is captured in a tiny basket and removed with the endoscope.

References

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