Accuracy of surgeon-performed gallbladder ultrasound

Background: Symptomatic cholelithiasis is among the most common of general surgery referrals. With an appropriate clinical presentation, definitive diagnosis requires documentation of gallstones by ultrasonography (US). The authors evaluated the accuracy of surgeon-performed US for identifying galls...

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Bibliographic Details
Published in:	The American journal of surgery Vol. 178; no. 6; pp. 475 - 478
Main Authors:	Fang, Raymond, Pilcher, John A, Putnam, A.Tyler, Smith, Ted, Smith, David L
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-12-1999
Subjects:	Cholelithiasis - diagnostic imaging Cholelithiasis - surgery Female Gallbladder - diagnostic imaging General Surgery Humans Male Middle Aged Reproducibility of Results Sensitivity and Specificity Ultrasonography
Online Access:	Get full text
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Summary:	Background: Symptomatic cholelithiasis is among the most common of general surgery referrals. With an appropriate clinical presentation, definitive diagnosis requires documentation of gallstones by ultrasonography (US). The authors evaluated the accuracy of surgeon-performed US for identifying gallstones in patients with a nonacute indication for study. Methods: Patients referred for symptomatic cholelithiasis and who provided informed consent received an US examination by one or more of the surgical investigators. Surgeon-performed US findings were correlated with radiologist US findings and pathologic diagnoses. Results: Seventy-seven patients received a total of 128 examinations by the investigators. Surgeon-performed US examination agreed with the radiologist US findings for 112 of 122 studies (92%) with a sensitivity of 100% and a specificity of 95%. Surgeon-performed US findings correlated with the pathologic diagnoses for 83 of 86 studies (97%). Conclusions: Surgeons can perform gallbladder US in the nonacute setting with a high degree of accuracy.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0002-9610 1879-1883
DOI:	10.1016/S0002-9610(99)00225-1