Grey-Scale Ultrasonography in the Differential Diagnosis of Jaundice

Taylor, Kenneth J. W.

doi:10.1001/archsurg.1977.01370070034004

Cited by 80 publications

(13 citation statements)

References 16 publications

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“…GSU made this distinction in 94%, and provided a confident and correct disease diagnosis in 51 %.Very similar figures (97 % and 54.7 %, respectively) have recently been reported by Taylor and Rozenfield (1977). Vicary et al (1977) were able to distinguish medical and surgical causes ofjaundice in 23 of 26 patients, but could suggest a diagnosis only in four cases.…”

Section: Discussionsupporting

confidence: 55%

Grey-scale ultrasonography in cholestatic jaundice.

Vallon¹,

Lees²,

Cotton³

1979

Gut

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Section: Discussionsupporting

confidence: 55%

Grey-scale ultrasonography in cholestatic jaundice.

Vallon¹,

Lees²,

Cotton³

1979

Gut

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“…Twenty-four of our patients had gallstone disease, of whom 13 had gallstones in the common bile duct at the time of surgery; in only 2 patients were these specifically detected by ultrasound. These results are similar to the experience of other workers, and in their recent report on 150 jaundiced patients, Taylor and Rosenfield were able to identify only 3 of 21 common bile duct stones (Taylor and Rosenfield, 1977). In a similar study reported by Vallon et al (1978), 5 of 14 common bile duct stones were detected, These results are somewhat disappointing since gallstone disease is the conimonest cause of jaundice in patients referred to the surgeon.…”

Section: Discussionsupporting

confidence: 86%

“…The initial success reported in using ultrasound scanning to differentiate extra-from intrahepatic jaundice (Taylor and Carpenter, 1974a) has been supported by subsequent more detailed studies (Neiman and Mintzer, 1977;Taylor and Rosenfield, 1977;Vicary et al, 1977). The purpose of the present study was to assess the role of ultrasound scanning as part of a jaundice-investigation programme.…”

Section: In a Unit Specializing In The Management Of Complicuted Hepamentioning

confidence: 81%

The role of grey scale ultrasonography in the investigation of jaundice

McKay

Duncan

Lam

et al. 1979

Journal of British Surgery

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Sixty-seven patients were prospectively studied using grey scale ultrasound (GSU) to assess its possible role as part of a jaundice investigation programme. All scans were performed by one radiologist, without clinical information. When intrahepatic ductal dilatation was found an attempt was made to establish the level and cause of obstruction. The calibre of the intrahepatic bile ducts was correctly reported in 66 patients (98 per cent). Forty-three proved to have extrahepatic cholestasis, 24 had intrahepatic cholestasis. No patient with intrahepatic cholestasis had dilated ducts seen on ultrasound. In 43 patients with obstructive jaundice, GSU accurately detected the level of obstruction in 28. This accuracy varied with the cause of obstruction. A direct indication of diagnosis was possible in 45 of the 67 patients. In a unit specializing in the management of complicated hepatobiliary problems, GSU has been shown to be accurate in differentiating extra- from intrahepatic jaundice. Being non-invasive, it appears ideally suited for use as a screening procedure, permitting selection of appropriate invasive investigations to provide complete preoperative imaging of the biliary tree. In patients with jaundice due to gallstones, GSU may be the only imaging technique required before surgery provided good operative cholangiography is available.

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“…Over the last 10 years, new invasive and noninvasive techniques have been developed, These include percutaneous transhepatic cholangiography with skinny needle (PTC) [5], endoscopic retrograde cholangiopancreatography (ERCP) [6], ultrasonography [7], and computed tomography [8], which provide a wide range of diagnostic methods for use in cholestatic patients. However, the high yield of diagnostic information obtained by these techniques was put forward mostly in competitive and alternative terms.…”

mentioning

confidence: 99%

Combined approach to the differential diagnosis of cholestatic jaundice with endoscopic retrograde cholangiopancreatography, percutaneous transhepatic cholangiography, ultrasonography, and liver biopsy

Ginestal-Cruz

Pinto-Correia

Camilo

et al. 1981

Gastrointest Radiol

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A prospective study of 33 patients with cholestatic jaundice was performed with combined use of endoscopic retrograde cholangiopancreatography (ERCP), percutaneous transhepatic cholangiography (PTC), ultrasonography, and liver biopsy. A higher rate of success with PTC in 25 cases of extrahepatic cholestasis was offset by the better score of ERCP in 8 cases of intrahepatic cholestasis and its wider diagnostic scope. The procedures were complementary in 10 cases. Ultrasonic imaging of intrahepatic bile ducts proved useful for selecting the first cholangiographic technique. Liver biopsy established etiology in intrahepatic cholestasis. Our combined approach allowed us to develop through objective criteria a diagnostic flow chart of cholestasis.

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Grey-Scale Ultrasonography in the Differential Diagnosis of Jaundice

Cited by 80 publications

References 16 publications

Grey-scale ultrasonography in cholestatic jaundice.

Grey-scale ultrasonography in cholestatic jaundice.

The role of grey scale ultrasonography in the investigation of jaundice

Combined approach to the differential diagnosis of cholestatic jaundice with endoscopic retrograde cholangiopancreatography, percutaneous transhepatic cholangiography, ultrasonography, and liver biopsy

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