ABSTRACT
Results of the diagnosis of endoscopic ultrasonography (USG) in 58 patients with suspected choledocholithiasis were analyzed. Bile duct stones were diagnosed by USG in 54 patients, including 5 patients in combination with terminal bile duct strictures. The sensitivity, specificity and accuracy of the USG method in detecting choledocholithiasis were 96.3, 100 and 96.5% respectively.
Subject(s)
Bile Ducts/diagnostic imaging , Cholangitis/diagnosis , Choledocholithiasis/diagnosis , Constriction, Pathologic/diagnosis , Endosonography/methods , Adult , Aged , Bile Ducts/physiopathology , Cholangitis/etiology , Cholangitis/physiopathology , Choledocholithiasis/complications , Choledocholithiasis/physiopathology , Constriction, Pathologic/etiology , Constriction, Pathologic/physiopathology , Female , Humans , Male , Middle Aged , Reproducibility of Results , Sensitivity and SpecificityABSTRACT
The author presents the results of ultrasound investigation (USI) of 419 patients with cholecystocholedocholithiasis. The diagnostic accuracy of USI methods in patients with calculous cholecystitis was 98.8%. Direct signs of visualization of concrements in the common bile duct (CBD) were found but in 68.5% of patients. On the basis of USI results the common bile stones were found in 287 (68.5%) patients. The concrements omitted in transabdominal USI were diagnosed using endoscopic retrograde cholangiopancreaticography, magnetic resonance cholangio-pancreaticography, endoscopic ultrasonography as well as in operative intervention.
Subject(s)
Cholecystitis , Cholecystolithiasis , Choledocholithiasis , Common Bile Duct/surgery , Ultrasonography , Aged , Biliary Tract Surgical Procedures , Cholangiopancreatography, Endoscopic Retrograde/methods , Cholangiopancreatography, Magnetic Resonance/methods , Cholecystitis/diagnosis , Cholecystitis/etiology , Cholecystitis/physiopathology , Cholecystolithiasis/complications , Cholecystolithiasis/diagnosis , Cholecystolithiasis/physiopathology , Cholecystolithiasis/surgery , Choledocholithiasis/complications , Choledocholithiasis/diagnosis , Choledocholithiasis/physiopathology , Choledocholithiasis/surgery , Common Bile Duct/physiopathology , Female , Gallstones/diagnosis , Humans , Male , Sensitivity and Specificity , Ultrasonography/methods , Ultrasonography/statistics & numerical dataABSTRACT
This study aimed to evaluate the safety and short-term outcomes after two-stage medical tactics for 115 patients with gallstones and ductal calculi. The use of two-stage method of treatment has proved effective in 110 (95.7%) patients. There were 5 (4.3%) conversion in our series.
