Should Cholecystography or Ultrasound Be the Primary Investigation for Gallbladder Disease?

Radiologic and pathologic correlation of adenomyomatosis of the gallbladder

“…In our experience, however, it is less frequently visualized by RTUS. This might be explained by less spatial resolution of the lower frequency ultrasonic probe (3.5 MHz) routinely employed for the right upper quadrant of abdominal survey, which is the reason de Lacey et al [13] favored OCG rather than sonography for the diagnosis of GBA. The majority of patients' gallbladders will localize within the focus of the transducer of 5 MHz; a linear transducer will demonstrate the superficial parts, such as gallbladder wall, more clearly than will the sector probe.…”

Appropriate investigation of gastrointestinal symptoms

“…For example, investigation of oesophageal disease is largely radiological 8 . The simple oral cholecystogram is as sensitive and specific as ultrasound for the diagnosis of gall bladder disease, and indeed is rather better when the strawberry gall bladder is involved 9 …”

“…8 The simpl e oral cholecystogram is as sensitive and specific as ultrasound for the diagnosis of gall bladder disease, and indeed is rather better when the strawberry gall bladder is involved. 9 The principal advantage of ultrasound is the image it provides outside the gall bladder. It appears that, in the diagnosis of rectal bleeding, fibresigmoidoscopy combined with barium enema performs better than…”