Accuracy of Surgeon-Performed Gallbladder Ultrasound in Identification of Acute Cholecystitis

İrkörücü, Oktay; Reyhan, Enver; Erdem, Hasan; Çetinkünar, Süleyman; Değer, Kamuran Cumhur; Yılmaz, Cengiz

doi:10.3109/08941939.2012.697977

Cited by 11 publications

(14 citation statements)

References 8 publications

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“…We demonstrate a lower sensitivity for detecting gallstones compared to some previous studies where sensitivities in the range of 95-100 % have been described [3,8,9,15]. These studies had a higher prevalence of gallstones in the study population, which together with clinically suspected biliary disease for the patients included could have led to selection bias, and an overestimation of the sensitivity.…”

Section: Discussioncontrasting

confidence: 61%

Accuracy of Surgeon‐Performed Ultrasound in Detecting Gallstones: A Validation Study

et al. 2016

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Section: Discussioncontrasting

confidence: 61%

Accuracy of Surgeon‐Performed Ultrasound in Detecting Gallstones: A Validation Study

et al. 2016

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“…For example, studies of bedside ultrasound performed by surgeons in Sweden, Japan and Iran have reported sensitivities of 60%, 84.2% and 89.6% and specificities of 98.6%, 92.1% and 96.6%, respectively, for the imaging diagnosis of acute cholecystitis. [11][12][13] It is important to note that even formal ultrasound scan performed by experienced radiology staff is an imperfect test. A systematic review and meta-analysis comparing the diagnostic performance of radiological investigations for the imaging diagnosis of acute cholecystitis reported formal ultrasound to have a sensitivity of only 81% (95% CI 75-87) and specificity of 83% (95% CI 74-89).…”

Section: Discussionmentioning

confidence: 99%

“…However, other published studies of bedside ultrasound for acute cholecystitis have generally reported much lower sensitivities and specificities. For example, studies of bedside ultrasound performed by surgeons in Sweden, Japan and Iran have reported sensitivities of 60%, 84.2% and 89.6% and specificities of 98.6%, 92.1% and 96.6%, respectively, for the imaging diagnosis of acute cholecystitis 11–13 . It is important to note that even formal ultrasound scan performed by experienced radiology staff is an imperfect test.…”

Section: Discussionmentioning

confidence: 99%

Bedside ultrasonography for acute gallstone disease: a diagnostic accuracy study of surgical registrars and emergency medicine physicians

Macdonald

Sue

Hakiwai

et al. 2020

ANZ Journal of Surgery

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Background: Acute gallstone disease, primarily biliary colic and acute cholecystitis, represents a significant burden on surgical services. Prolonged waiting times for ultrasonography to confirm a diagnosis contributes to inefficiency and delays surgery. Bedside ultrasound offers an opportunity for clinicians make a diagnosis more promptly and streamline acute surgery. This study evaluated the reliability of bedside ultrasound performed by clinicians following local training and a trial of its introduction into clinical practice. Methods: This was a prospective inter-rater reliability study of bedside ultrasound scans performed on patients referred for suspected acute gallstone disease. Results were compared with a formal ultrasound scan in the radiology department. Inter-rater agreement for the finding of gallstones and the imaging diagnosis of acute cholecystitis was assessed. Results: A total of 124 patients underwent bedside ultrasound scan, 87 (70.2%) performed by surgical registrars. Mean patient age was 48 years (range 19-92 years) with 95 females (76.6%). Inter-rater reliability for the finding of gallstones showed strong agreement with kappa 0.85 (95% confidence interval 0.76-0.95) whereas for the imaging diagnosis of acute cholecystitis there was a minimal agreement with kappa 0.37 (95% confidence interval 0.18-0.56). Sensitivity and specificity for the finding of gallstones on bedside ultrasound was 93% and 92%, respectively. Conclusion: Bedside ultrasound is accurate for the finding of gallstones, but the imaging diagnosis of acute cholecystitis is more challenging. There remains the potential for this to improve the efficiency of surgical assessment in suspected acute gallstone disease and this supports the ongoing provision of bedside ultrasound in surgical services.

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“…4 Because of this, AC remains very much a clinical diagnosis, with US provid ing a diagnostic adjunct. 22 Additionally, many studies use a pathological diagnosis as the gold standard, which may not correlate with clinical findings. The literature is additionally limited by many singleinstitution, retro spective, small data sets.…”

Section: Discussionmentioning

confidence: 99%

Does ultrasongraphy predict intraoperative findings at cholecystectomy? An institutional review

Stogryn

Metcalfe

Vergis

et al. 2016

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Accuracy of Surgeon-Performed Gallbladder Ultrasound in Identification of Acute Cholecystitis

Abstract: Both SPUS and RPUS had a high accuracy rate in electing the acute cholecystitis. Our data support the fact that the use of US by general surgeons is effective in the diagnosis of acute cholecystitis.

Cited by 11 publications

References 8 publications

Accuracy of Surgeon‐Performed Ultrasound in Detecting Gallstones: A Validation Study

Accuracy of Surgeon‐Performed Ultrasound in Detecting Gallstones: A Validation Study

Bedside ultrasonography for acute gallstone disease: a diagnostic accuracy study of surgical registrars and emergency medicine physicians

Does ultrasongraphy predict intraoperative findings at cholecystectomy? An institutional review

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