Document Detail

Accuracy of Surgeon-Performed Gallbladder Ultrasound in Identification of Acute Cholecystitis.
MedLine Citation:
PMID:  23273179     Owner:  NLM     Status:  Publisher    
ABSTRACT Background: Acute cholecystitis is a common cause of emergency hospital admission. Ultrasonography (US) plays a significant role in the prompt diagnosis of this medical condition. However, it is difficult to find a radiologist in attendance for performing gallbladder US "beyond daytime and on weekends." With this standpoint, we decided to assess prospectively the accuracy of surgeon-performed gallbladder US for identifying acute cholecystitis in patients with cholelithiasis. Materials and Methods: Seventy-one consecutive patients awaiting elective or acute gallbladder surgery were included in this study. The US findings of surgeons and radiologists are compared with the histopathology reports. The sensitivity, specificity, accuracy, PPV (positive predictive value), and NPV (negative predictive value) for acute cholecystitis by both surgeon-performed ultrasound (SPUS) and radiologist-performed ultrasound (RPUS) were evaluated. Results: Both radiologists and surgeons visualized the gallstones of each patient in all cases. The sensitivity, specificity, accuracy, and NPV for acute cholecystitis by SPUS were 84.2%, 92.1%, 90%, and 94%, respectively, whereas the sensitivity, specificity, accuracy, and NPV for acute cholecystitis by RPUS were 92.3%, 85.9%, 87.1%, and 98%, respectively. Conclusions: Both SPUS and RPUS had a high accuracy rate in electing the acute cholecystitis. Our data support the fact that the use of US by general surgeons is effective in the diagnosis of acute cholecystitis.
Oktay Irkorucu; Enver Reyhan; Hasan Erdem; Süleyman Cetinkünar; Kamuran Cumhur Değer; Cengiz Yılmaz
Related Documents :
23431119 - Strangulated ileal trans-coloanal-anastomotic hernia: a complication of altemeier's pro...
25009689 - How could such a wide piece of tree root pass through the narrow pyloric orifice? an ex...
23017519 - Surgical decompression is lifesaving for patients with sepsis and ureteral calculi.
23730569 - Temps-a temperament scale before and after septoplasty in patients with nasal septum de...
24418179 - Surgical pulmonary embolectomy in a community hospital.
25361359 - Emerging technology in surgical education: combining real-time augmented reality and we...
740189 - Postoperative ct changes.
23636519 - Total laparoscopic esophageal bypass using a colonic conduit for corrosive-induced esop...
17047499 - Practice analysis: techniques of head and neck surgeons and general surgeons performing...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-28
Journal Detail:
Title:  Journal of investigative surgery : the official journal of the Academy of Surgical Research     Volume:  -     ISSN:  1521-0553     ISO Abbreviation:  J Invest Surg     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8809255     Medline TA:  J Invest Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Surgery, Adana Numune Training and Research Hospital , Adana , Turkey.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Long-Term Results of Intersphincteric Resection for Low Rectal Cancer.
Next Document:  Combined Tantalum Implant with Bone Grafting for the Treatment of Osteonecrosis of the Femoral Head.