Die Wertigkeit von Laparoskopie und Leberpunktion für die Diagnostik chronischer Hepatopathien

Wp, Fritsch; Herms, W; Huth, F; Wetzels, E; Tu, Hausamen

doi:10.1055/s-0028-1107620

Cited by 9 publications

(2 citation statements)

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“…Since our findings could not be controlled by postmortem examination except in 16 cases (10 %), the percentage of false-negative results of the two methods remains unknown. As far as we know the only studies comparing peritoneoscopy and liver biopsy have been those of Vido and Wildhirt (1969), Fritsch, Herms, Huth, Wetzels, and Hausamen (1972) and Gros (1973). In these reports no false-negative findings of peritoneoscopy are given since the selection of patients was made only by endoscopic criteria, and the accuracy of liver biopsy was surprisingly low.…”

Section: Discussionmentioning

confidence: 99%

A comparison of the accuracy of peritoneoscopy and liver biopsy in the diagnosis of cirrhosis

Bruguera¹,

Bordas²,

Mas³

et al. 1974

Gut

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(Scheuer, 1973): nodular regeneration, fragmentation of the biopsy with fibrosis at the margins and wide postnecrotic collapse with an abnormal relationship between portal tracts and central veins, and evidence of active liver-cell hyperplasia.In order to compare the findings by the two methods, only the cases diagnosed as cirrhosis by one or both procedures were selected. Necropsy was performed in 16 of these cases, confirming the diagnosis made. ResultsThe combination of both methods yielded a diagnosis of cirrhosis in 152 out of the 473 patients examined. A positive histological and peritoneoscopic diagnosis was obtained in 111 (73 %), and in 41 cases only one of the two procedures yielded the diagnosis. In the remaining 321 patients cirrhosis was excluded after the examination.Among the 41 cases in which a discrepancy was found, cirrhosis was diagnosed histologically in 27 and peritoneoscopically in 14. Thus the total number of 'apparent' positive results of peritoneoscopy was 125 (82.3 %) and of liver biopsy 138 (90.7 %/). The percentage of 'apparent' false-negative results is 17-7 % for peritoneoscopy and 9.3 % for liver biopsy.

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Section: Discussionmentioning

confidence: 99%

A comparison of the accuracy of peritoneoscopy and liver biopsy in the diagnosis of cirrhosis

Bruguera¹,

Bordas²,

Mas³

et al. 1974

Gut

View full text Add to dashboard Cite

show abstract

“…A sterile technique was employed and the abdomen cleaned with antiseptic. 10 to 15 mls of 2% lignocaine anaesthetic was infiltrated two finger breadths above and to the left of the umbilicus between the one and three o'clock position. The area between the ten and 12 o'clock position was avoided since this lies above the round ligaments which may contain vessels, particularly in portal hypertension.…”

Section: Methodsmentioning

confidence: 99%