[Preoperative diagnosis of cholangiolithiasis].
The authors analyzed the sensitivity of preoperative diagnosis of Bile Duct Stones in 360 operated patients with Bile Duct Stones. They evaluated intravenous cholangiography, sonography, percutaneous transhepatic cholangiography (PTC) and endoscopic retrograde cholangiopancreatography (ERCP) with the possibility of endoscopic operations. The authors recommend after evaluation of anamnestic data, physical examination and results of biochemical examination always to make a sonographic examination (sensitivity for Bile Duct Stones 60%), to use in some indicated cases ERCP with the possibility of endoscopic operations (sensitivity 91%) and finally peroperative examinations in operated patients. Intravenous cholangiography (sensitivity for Bile Duct Stones 41%) and PTC (sensitivity 93%) should be reserved for those patients where for technical reasons sonography and ERCP cannot be used.
Vetyska
J
J
Chirurgicke oddĕlení NsP Na Homolce, Praha.
Vĕtsev
P S
PS
D001649:Bile Duct Diseases / Q000175:diagnosis / Q000601:surgery; D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002769:Cholelithiasis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D014463:Ultrasonography
Predoperacní diagnostika cholangiolitiázy.