Diagnostic fine-needle puncture of the gallbladder with US guidance.

Swobodnik, W; Hagert, N; Janowitz, P; Wenk, H.

doi:10.1148/radiology.178.3.1994414

Cited by 26 publications

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“…This latter needle might be long enough for larger canine breeds, as well. We did not use any mandrin when penetrating the abdominal wall, liver and gallbladder, but this might be also applied as described earlier (Swobodnik et al, 1991;Pekow et al, 1994). Nevertheless, a relatively long and thin needle can be more flexible, and proper guidance of the needle might be somewhat complicated.…”

Section: Discussionmentioning

confidence: 99%

“…These rarely include bile leakage with bile peritonitis, significant bleeding from the liver and acute vagal reaction with severe hypotension and bradycardia (vanSonneberg et al, 1992). However, some other authors did not find any significant complications of fine-needle puncture even studying a large number of human patients (Swobodnik et al, 1991;Tudyka et al, 1995;Puskás and Király, 2000).…”

Section: Acta Veterinaria Hungarica 50 2002mentioning

confidence: 93%

“…Percutaneous ultrasound-guided cholecystocentesis was performed on dogs in left lateral recumbency using a ventral transabdominal and transhepatic approach of the gallbladder (Swobodnik et al, 1991;Tudyka et al, 1995;Rivers et al, 1997). In the midline of the epigastrium, the skin was prepared aseptically and a 22-gauge (0.7 × 30 mm) subcutaneous needle with a 5-ml syringe was introduced into the gallbladder under ultrasound guidance, using the disinfected transducer and applying the 'free-hand' technique.…”

Section: Methodsmentioning

confidence: 99%

“…Bile from the gallbladder of human patients can be gained intraoperatively during surgical treatment of biliary disorders (Wildgrube et al, 1986;Armstrong et al, 2000) or, more conveniently, by ultrasound-guided percutaneous cholecystocentesis (Swobodnik et al, 1991;vanSonnenberg et al, 1992;Tudyka et al, 1995). The latter method has been described in the owl monkey (Pekow et al, 1994), in swine (Klapdor et al, 1997;Kessler et al, 2001) as well as in cattle (Braun and Gerber, 1992;Braun et al, 1995).…”

mentioning

confidence: 99%

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Percutaneous ultrasound-guided cholecystocentesis in dogs

Vörös

Sterczer

Manczur

et al. 2002

Acta Veterinaria Hungarica

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Percutaneous ultrasound-guided cholecystocentesis was performed on 13 healthy beagle dogs to determine whether percutaneous ultrasound-guided cholecystocentesis in the dog was a feasible and safe procedure. Clinical, laboratory and ultrasonographic examinations were done at 0 and 10 minutes, in the 2nd and 16th hour, and on the 7th day. They included a detailed physical examination of the mucous membranes, cardiorespiratory system and abdominal organs. Laboratory examinations of the blood consisted of a complete blood count, determination of packed cell volume (PCV), haemoglobin (Hb), total plasma protein (TPP), parameters of haemostasis including prothrombin time (PT), activated partial thromboplastin time (APTT), and enzyme activities reflecting hepatobiliary function, i.e. aspartate aminotransferase (AST), alanine aminotransferase (ALT), and gamma-glutamyltransferase (GGT). Ultrasonographic findings of the gallbladder (size, shape, wall, content) and appearance of the biliary tract and the surrounding cranial intraabdominal organs were also evaluated. Percutaneous ultrasoundguided cholecystocentesis was performed easily during the study, and dogs tolerated well the procedure performed without anaesthesia. All laboratory parameters of the blood remained within normal limits throughout the study. However, some follow-up values, i.e. PCV, TPP, APTT and ALT, demonstrated statistically significant differences when compared to baseline measurements, which might reflect the effect of 24-hour fasting before the experiment, as well as day-to-day metabolic fluctuations due to feeding and water supply during the study. There were no visible signs of bleeding from the liver, bile leakage from the gallbladder or accumulation of free peritoneal fluid during repeated ultrasonographic examinations. Percutaneous ultrasound-guided cholecystocentesis seems to be an important diagnostic procedure in canine gallbladder diseases and can be used safely and easily to gain gallbladder bile for diagnosis of bacterial cholecystitis or for investigating hepatobiliary function in the dog.

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Section: Discussionmentioning

confidence: 99%

Section: Acta Veterinaria Hungarica 50 2002mentioning

confidence: 93%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Percutaneous ultrasound-guided cholecystocentesis in dogs

Vörös

Sterczer

Manczur

et al. 2002

Acta Veterinaria Hungarica

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“…In humans, neither neutrophilia nor other signs of inflammation (increased erythrocyte sedimentation rate) were reported after a diagnostic fine-needle aspirate of the gallbladder. 18 In cows, a transient and slight increase in rectal temperature was described in 20% of the animals; however, the neutrophil count was not measured.…”

Section: Monitoring After Pucmentioning

confidence: 99%

Percutaneous Ultrasound‐Guided Cholecystocentesis in Healthy Cats

Savary-Bataille

Bunch

Spaulding

et al. 2003

Veterinary Internal Medicne

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Percutaneous ultrasound-guided cholecystocentesis (PUC) is a minimally invasive technique for bile collection that is used successfully in human patients with cholecystitis. Its use in veterinary medicine for evaluation of hepatobiliary disorders has been limited because of the perceived unacceptable risk of bile peritonitis. An experimental study was conducted to evaluate the safety and efficacy of PUC, to collect data on bile cytology and bacteriologic culture, and to attempt to isolate Helicobacter spp. from the bile of healthy cats. In fasted and sedated cats, PUC was performed with a 22-gauge 1.5-in. (3.81 cm) needle with an attached 12-mL syringe via a right-sided transhepatic approach (n ϭ 1) or into the fundus of the gallbladder (n ϭ 11) via a right ventral abdominal approach. An attempt was made to completely empty the gallbladder. A small amount of abdominal effusion, consistent with bile or blood, was seen ultrasonographically immediately after aspiration in the 1st cat. Ultrasonographic complications with the 2nd technique were not observed in the remaining 11 cats. Decreased appetite and evidence of mild abdominal pain were detected in 4 cats within 2 days after PUC. The mean neutrophil count increased 2 days after PUC (P Ͻ .01) but remained within the reference range. The bile was acellular in 11 of 12 cats, and aerobic, anaerobic, and Helicobacter spp. cultures yielded no growth in 12 of 12 cats. There were no remarkable gross or histologic lesions of abdominal organs at the postmortem examination (8 cats) performed 7-8 days after the procedure. PUC appears to be a safe and technically simple procedure. Further studies are warranted to determine the use and safety of PUC in cats with hepatobiliary diseases.

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Ultrasound-guided fine-needle aspiration cytology diagnosis of gallbladder lesions: A study of 82 cases

Das¹,

Tripathi²,

Bhambhani³

et al. 1998

Diagn. Cytopathol.

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Carcinoma of the gallbladder (GB) is among the five most common forms of cancers and tops the list of gastrointestinal malignancies in females of the Delhi region. Lack of specific signs and symptoms prevents early detection of GB carcinoma. However, in recent years ultrasonographically (US)‐guided fine‐needle aspiration (FNA) cytology has been found to be a reliable procedure for its diagnosis. The present study was carried out during a period of 5 yr (1986–1990) in 64 female and 18 male patients to find out the diagnostic utility of US‐guided FNA cytology in gallbladder lesions. Ultrasonography in these 82 cases revealed a mass in the gallbladder/GB area in 74 (90.2%), a mass in the GB/pancreas in 1 (1.2%), gallstones in 32 (39.0%), and miscellaneous gallbladder lesions in 4 (4.9%). The other findings included space‐occupying lesions in liver in 18 (22.0%), portal lymphadenopathy in 12 (14.6%), and infiltration in other organs in 7 (8.5%). The initial cytodiagnosis was malignancy in 48 cases, inflammatory in 12, and inadequate in 22. Following review of the smears by one of the investigators (D.K.D.), the number of malignant cases remained 48 (58.5%). There were 10 (12.2%) inflammatory and 24 (29.3%) inadequate cases. Adenocarcinoma was the most common malignancy (83.3%), followed by squamous‐cell and adenosquamous carcinoma (12.5%) and small round cell tumors (4.2%). The 10 inflammatory lesions showed slight (+) to excessive (+++) neutrophilic infiltration and included one case each of xanthogranulomatous cholecystitis and a necrotizing granulomatous lesion likely to be of tuberculous etiology. Diagn. Cytopathol. 1998; 18:258–264. © 1998 Wiley‐Liss, Inc.

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Diagnostic fine-needle puncture of the gallbladder with US guidance.

Cited by 26 publications

References 0 publications

Percutaneous ultrasound-guided cholecystocentesis in dogs

Percutaneous ultrasound-guided cholecystocentesis in dogs

Percutaneous Ultrasound‐Guided Cholecystocentesis in Healthy Cats

Ultrasound-guided fine-needle aspiration cytology diagnosis of gallbladder lesions: A study of 82 cases

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