TITLE

Ultrasound in the Diagnosis of Cholestatic Jaundice

AUTHOR(S)
Bolondi, L.; Gandolfi, L.; Rossi, A.; Caletti, G. C.; Fontana, G.; Labo, G.
PUB. DATE
February 1979
SOURCE
American Journal of Gastroenterology;Feb1979, Vol. 71 Issue 2, p168
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
A total of 70 cases of cholestatic jaundice have been studied by gray scale ultrasonography in order to evaluate how this technic may be used to differentiate between intra- and extrahepatic cholestasis. In 37 out of 42 patients (88.1% ) with jaundice of extrahepatic origin, dilatation of the biliary tree was demonstrated, whereas in all the 2S patients with intrahepatic cholestasis biliary dilatation was clearly excluded. In addition, gallstones in the biliary ducts were detected in 12 out of 20 cases and enlargement of the head of the pancreas (due to carcinoma or chronic pancreatitis) was often correctly diagnosed (nine out of 13 cases). These results suggest that ultrasonography should represent the first step in the diagnostic approach to cholestasis. Information gained from this noninvasive technic should make it possible to correctly plan the more complex investigations (endoscopie retrograde diolangiopancreatography and percutaneous transhepatic cholangiography).
ACCESSION #
16133779

 

Related Articles

  • Gallstone Pancreatitis: A Prospective Study on the Incidence of Cholangitis and Clinical Predictors of Retained Common Bile Duct Stones. Lin Chang; Lo, Simon K.; Stabile, Bruce E.; Lewis, Roger J.; De Virgilio, Christian // American Journal of Gastroenterology;Apr1998, Vol. 93 Issue 4, p527 

    Objective: The aim of this study was to define the incidence of cholangitis in gallstone pancreatitis, in the absence of cholangitis, to identify the clinical predictors of persistent common bile duct (CBD) stones at endoscopic retrograde cholangiography (ERCP) or at intraoperative...

  • Indications for Selective Intraoperative Cholangiography Livingston, Edward H.; Miller, Jordan A.G.; Coan, Brian; Rege, Robert V. // Journal of Gastrointestinal Surgery;Dec2005, Vol. 9 Issue 9, p1371 

    The indications for selective intraoperative cholangiography (IOC) include a clinical history of jaundice, pancreatitis, elevated bilirubin level, abnormal liver function test results, increased amylase levels, a high lipase level, or dilated common bile duct on preoperative ultrasonography....

  • Carcinoid of the Ampulla of Vater Presenting as Acute Pancreatitis. Mergener, Klaus; Gottfried, Marcia R.; Feldman, Jerome M.; Branch, M. Stanley // American Journal of Gastroenterology;Nov1996, Vol. 91 Issue 11, p2426 

    A 30-yr-old female with a carcinoid tumor of the ampulla of Vater is discussed. This rare tumor presented in an unusual fashion with isolated pancreatitis in the absence of cholestasis. The correct diagnosis was made preoperatively by endoscopic retrograde cholangiography with biopsies. Surgical...

  • Ampullary Obstruction Monitoring in Acute Gallstone Pancreatitis: A Safe, Accurate, and Reliable Method to Detect Pancreatic Ductal Obstruction. Acosta, Juan M.; Ronzano, Gustavo D.; Pellegrini, Carlos A. // American Journal of Gastroenterology;Jan2000, Vol. 95 Issue 1, p122 

    OBJECTIVE: The aim of this study was to determine the value of ordinary clinical and laboratory data, including the monitoring of ampullary gallstone obstruction in the early phases of the disease, in the diagnosis of acute gallstone pancreatitis (AGP). METHODS: One hundred and thirty-two...

  • Prediction of Bile Duct Stones and Complications in Gallstone Pancreatitis Using Early Laboratory Trends. Cohen, Matthew E.; Slezak, Lori; Wells, Carolyn K.; Andersen, Dana K.; Topazian, Mark // American Journal of Gastroenterology;Dec2001, Vol. 96 Issue 12, p3305 

    OBJECTIVES: We aimed to determine whether early trends in the serum pancreatic enzymes and liver tests of patients with gallstone pancreatitis predict persistent common bile duct (CBD) stones and complications. METHODS: Medical records of patients with gallstone pancreatitis were reviewed...

  • Original internal derivation catheter endoprosthesis in patients with inoperable in filtration of distal choledochus and biliary-enteric fistula. Mladenovic, Ana; Adnadjevic, Perica // Acta Chirurgica Iugoslavica;2015, Vol. 62 Issue 2, p41 

    Aim: The aim of this study was to present the original idea of intervention radiology procedure treating ireversible cholestasis with intrahepatic pneumobilia due to choledoho-enteric fistula in inoperable carcinoma of pancreatic head, in the only possible way. Material and methods: We treated 3...

  • Long-term outcome of percutaneous transhepatic cholangioscopic lithotomy for hepatolithiasis. Min-Ho Huang; Chien-Hhua Chen; Jee-Chun Yang; Chi-Chieh Yang; Yung-Hsiang Yeh; Der-Aur Chou; Lien-Ray Mo; Sen-Kou Yueh; Chiu-Kuei Nien // American Journal of Gastroenterology;Dec2003, Vol. 98 Issue 12, p2655 

    OBJ ECTIVES: Percutaneous transhepatic cholangioscopic lithotomy (PTCSL) for the treatment of hepatolithiasis is particularly suited for those patients who are poor surgical risks or who refuse surgery and those with previous biliary surgery or stones distributed in multiple segments. However,...

  • Preoperative MRCP to detect choledocholithiasis in acute calculous cholecystitis. Wong, Hon-Phin; Chiu, Yu-Lun; Shiu, Bei-Hao; Ho, Lu-Chang // Journal of Hepato -- Biliary -- Pancreatic Sciences;Jul2012, Vol. 19 Issue 4, p458 

    Purpose: There are risks of common bile duct (CBD) stones in acute cholecystitis, and there is a move among surgeons to identify choledocholithiasis before surgery. Magnetic resonance cholangiopancreaticography (MRCP) has the potential to accurately detect choledocholithiasis in patients with...

  • Selective Intraoperative Cholangiography and Single-Stage Management of Common Bile Duct Stone in Laparoscopic Cholecystectomy. Shih-Chi Wu; Feng-Chi Chen; Chong-Jeh Lo // World Journal of Surgery;Nov2005, Vol. 29 Issue 11, p1402 

    Background: There are still debates and controversies in the detection and the management of common bile duct (CBD) stones in the era of laparoscopic cholecyslectomy (LC). This prospective study was performed to evaluate a single-stage management of CBD stone during LC. Methods: Between May 1998...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics