title: [Diagnostic strategy of the liver and bile ducts].
abstract: The diagnosis of gallbladder and liver diseases depends primarily on noninvasive techniques (ultrasound and computer tomogram). Gallstones can be detected by ultrasonography in more than 90% of such patients and this is a sufficient indication for operation. The preoperative diagnosis of stones of the biliary tract by sonography is however, unreliable. Even a preoperative endoscopic retrograde cholangio-pancreaticography cannot justify foregoing an intraoperative cholangiogram. Detection of metastasis is still a problem in the diagnosis of liver tumors. Further developments in computed tomogram and scintigram techniques, however, promise improvements.
authors.affiliation: Klinik und Poliklinik für Allgemein- und Abdominalchirurgie der Johannes Gutenberg-Universität Mainz.
authors.forename: T
authors.initials: T
authors.lastname: Junginger
authors.forename: T
authors.initials: T
authors.lastname: Böttger
authors.forename: K P
authors.initials: KP
authors.lastname: Reimund
authors.forename: W
authors.initials: W
authors.lastname: Wahl
mesh_terms: D001649:Bile Duct Diseases / Q000175:diagnosis* / Q000601:surgery; D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003937:Diagnosis, Differential; D005705:Gallbladder Diseases / Q000175:diagnosis; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis* / Q000601:surgery; D008113:Liver Neoplasms / Q000175:diagnosis; D014463:Ultrasonography
vernacular_title: Diagnostische Strategie an Leber und Gallenwegen.