1976
DOI: 10.1002/bjs.1800631013
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Evaluation of biliary tract disease by ultrasonic B-mode scanning

Abstract: To establish the value of diagnostic ultrasound (sonar) in the diagnosis of bilitary tract disease, 140 patients were scanned and also had a plain film of the biliary tract. Of these, 105 had contrast radiography and 123 were subjected to laparotomy. The results obtained suggest that in the absence of jaundice, sonar compares well with oral cholecystography in demonstrating the gallbladder, but is not as good as intravenous cholangiography in showing the duct system. In the presence of jaundice, however, sonar… Show more

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Cited by 11 publications
(8 citation statements)
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“…Similarly, in a prospective study of 140 patients presenting with biliary colic, acute and chronic cholecystitis or acute pancreatitis who were scanned with a B-mode scanner to determine the presence of gallstones, the gallbladder was identified in 119 patients (90 per cent). There was, however, an unacceptably high false negative report rate (25 cases) and there were 8 false positives (Addison et al, 1976).…”
Section: Discussionmentioning
confidence: 96%
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“…Similarly, in a prospective study of 140 patients presenting with biliary colic, acute and chronic cholecystitis or acute pancreatitis who were scanned with a B-mode scanner to determine the presence of gallstones, the gallbladder was identified in 119 patients (90 per cent). There was, however, an unacceptably high false negative report rate (25 cases) and there were 8 false positives (Addison et al, 1976).…”
Section: Discussionmentioning
confidence: 96%
“…All reports of no stones were confirmed subsequently by oral cholecystography or at operation. False negative reports in the literature vary from 23-5 per cent (Addison et al, 1976) to 6 per cent (Lawson, 1977) with 90 and 75 per cent successful visualization of the gallbladder respectively. This would suggest that more stringent criteria for gallbladder visualization may, in turn, lead to greater accuracy in detection of gallstones.…”
Section: Discussionmentioning
confidence: 99%
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“…In a previous paper from this unit (Addison et al, 1976) ultrasonic B-mode scanning in the absence of jaundice was shown to compare favourably with oral cholecystography in demonstrating calculi in the biliary tract. Its potential use in the presence of persistent jaundice when conventional radiography is not feasible was also suggested.…”
Section: Discussionmentioning
confidence: 99%