Ultrasonografía dinámica en el diagnóstico de la disfunción vesicular: fiabilidad de un método sencillo de fácil aplicación clínica

Pons, Vicente; Ballesta, Antonio; Ponce, M.; Maroto, Nuria; Argüello, Lídia; Sopena, R; Garrigues, Vicente; Ponce, J.

doi:10.1016/s0210-5705(03)70333-1

Cited by 5 publications

(11 citation statements)

References 20 publications

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Section: Discussionmentioning

confidence: 99%

“…There is scientific evidence that patients with a GBD diagnosis have a functional gallbladder emptying disorder that results in a typical biliary pain (11,27,37). However, this diagnosis requires a dynamic demonstration (11). The underlying disorder may be related to three different disorders: a) Oddi sphincter dysfunction; b) cystic duct syndrome; and c) gallbladder dyskinesia which may be primary or secondary to chronic cholecystitis (17,38).…”

Section: Discussionmentioning

confidence: 99%

“…The most reliable diagnostic tool is DCG (8,11). Nevertheless, due to its complexity and difficult availability in clinical practice, other studies such as dynamic ultrasonography are currently under evaluation (11,33).…”

Section: Discussionmentioning

confidence: 99%

“…Dynamic ultrasonography (DUS) allows a semiquantitative estimation of gallbladder emptying by extrapolating volume changes following stimulation (11). Results using the ellipsoid method are optimal although it has important interobserver and intraobserver variability (11). Moreover, changes in morphology associated or not with emptying and gallbladder secretion are not controlled phenomena that may correlate with false volume determinations (40,41).…”

Section: Discussionmentioning

confidence: 99%

“…DUS was performed with fatty meal also, and gallbladder kinetics was measured with the following formula: (baseline volume -post-stimulation volume / baseline volume) x 100. As in previous studies, it was considered abnormal when a decrease of more than 50% was not obtained (11).…”

Section: Quality Of Life (Giqli) and Laparoscopic Cholecystectomy Usementioning

confidence: 99%

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Quality of life (GIQLI) and laparoscopic cholecystectomy usefulness in patients with gallbladder dysfunction or chronic non-lithiasic biliary pain (chronic acalculous cholecystitis)

Roig¹,

Bueno-Lledó²,

Santafé³

et al. 2004

Rev. esp. enferm. dig.

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Objective: the aim of this study was to evaluate the incidence, clinical features and role of laparoscopic cholecystectomy (LC) in patients with chronic acalculous cholecystitis (CAC) in comparison with a control group of patients who underwent cholecystectomy for chronic calculous cholecystitis (CCC). Material and methods: prospective evaluation of 34 patients with CAC in contrast with 297 patients with CCC. Outcome measures: clinical presentation, quality of life using the Gastrointestinal Quality of Life Index (GIQLI), usefulness derived from the therapeutic procedure as measured in quality of life units by GIQLI, and clinical efficacy at one year of follow-up. Results: the incidence of complicated biliary disease was higher in CAC (27%), in comparison with CCC (13.8%). The histological study of the excised gallbladder revealed a higher incidence of cholesterolosis associated with chronic cholecystitis in the CAC group (64.9%). GIQLI showed significant differences between preoperative and postoperative measurements in both groups. The associated usefulness of LC was similar in both groups (73 versus 67.3 per cent), confirming an important increase in quality of life for both categories. Conclusions: the incidence of CAC is 11 per cent with a high association with cholesterolosis. Quality of life and LC usefulness are similar to those of patients with CCC. Due to the fact that cholecistogammagraphy is a technique not available in daily clinical practice, and that oral cholecystography and dynamic ultrasound are reliable when a positive result is obtained, extended clinical evaluation is still the most reliable indicator for cholecystectomy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Quality Of Life (Giqli) and Laparoscopic Cholecystectomy Usementioning

confidence: 99%

See 3 more Smart Citations

Quality of life (GIQLI) and laparoscopic cholecystectomy usefulness in patients with gallbladder dysfunction or chronic non-lithiasic biliary pain (chronic acalculous cholecystitis)

Roig¹,

Bueno-Lledó²,

Santafé³

et al. 2004

Rev. esp. enferm. dig.

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Quantitative cholescintigraphy and bile abnormalities in patients with acalculous biliary pain

Ponce

Pons

Sopena

et al. 2004

Eur J Nucl Med Mol Imaging

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Acalculous biliary pain has been related to gallbladder dysfunction that produces a gallbladder emptying defect-a condition which favours the development of lithiasis. It is therefore probable that microlithiasis is present in patients with gallbladder dysfunction. The aims of this study were to measure gallbladder emptying and investigate bile abnormalities in patients with acalculous biliary pain. In 92 consecutive patients, gallbladder emptying was assessed by quantitative cholescintigraphy (abnormal ejection fraction < or =40%). In 64 patients, a microscopic study was performed on duodenal bile, defining abnormality as the presence of cholesterol crystals in any amount and/or calcium bilirubinate granules and/or microspheroliths at a rate of >10 per slide. The ejection fraction was abnormal in 45 patients (49%) (median 25.1%, range 6.8-39.3%) and normal in the remaining 47 cases (median 71.3%, range 41.0-96.1%). Bile was abnormal in 32 of 64 patients (50%), the most frequent finding being calcium bilirubinate granules. In the patients with bile abnormalities, abnormal ejection fraction was more frequent (20 of 32) and the median ejection fraction was lower (30.9%, range 12.0-94.1%) than in the patients with normal bile (16 of 32 with an abnormal ejection fraction; median ejection fraction 50.7%, range 6.8-96.1%). Abnormal bile was frequent (55.5%) in patients with reduced ejection fraction, but was not uncommon in patients with normal ejection fraction (33.3%). Fewer patients showed no alteration (25%). It is concluded that in most patients, acalculous biliary pain coexists with gallbladder dysfunction or abnormal bile, the combination of both alterations being common.

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Evaluation of Body Surface Area as a Determinant of Cholecystodynamics Due to Orally Administered Standardized Skimmed Milk

Ugwu

2008

Journal of Diagnostic Medical Sonography

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The author studied the relationship between body surface area and both the gallbladder contraction index and gallbladder emptying rate. Using the ellipsoid formula, gallbladder volumes were sonographically measured in the preprandial state and 20 minutes after a standardized fatty meal in 62 subjects. Gallbladder contraction indices and emptying rates were calculated. The body surface area of 61 subjects who followed the study design was computed from their height and weight measurements. Parametric tests also were carried out, revealing that there were no significant correlations between body surface area and gallbladder contraction index and gallbladder emptying rate. Dosing in cholecystodynamic studies may be limited by lack of correlation between gallbladder emptying rate and body surface area.

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Ultrasonografía dinámica en el diagnóstico de la disfunción vesicular: fiabilidad de un método sencillo de fácil aplicación clínica

Cited by 5 publications

References 20 publications

Quality of life (GIQLI) and laparoscopic cholecystectomy usefulness in patients with gallbladder dysfunction or chronic non-lithiasic biliary pain (chronic acalculous cholecystitis)

Quality of life (GIQLI) and laparoscopic cholecystectomy usefulness in patients with gallbladder dysfunction or chronic non-lithiasic biliary pain (chronic acalculous cholecystitis)

Quantitative cholescintigraphy and bile abnormalities in patients with acalculous biliary pain

Evaluation of Body Surface Area as a Determinant of Cholecystodynamics Due to Orally Administered Standardized Skimmed Milk

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