Document Detail

Ultrasound and cholangiography for the diagnosis of biliary complications after orthotopic liver transplantation: a comparative study.
MedLine Citation:
PMID:  8838298     Owner:  NLM     Status:  MEDLINE    
The ability of ultrasound to detect biliary obstruction, bile leakage and generalized ductal changes after orthotopic liver transplantation (OLT) was compared to cholangiography. Cholangiography was considered to be the gold standard. Adequate opacification of the biliary tree was achieved in 139 cholangiograms. Biliary obstruction, intermediate or large bile leakage, and generalized ductal changes were diagnosed with cholangiography in 15% (21/139), 14% (20/139), and 16% (22/139), respectively. Normal ultrasound findings could not exclude biliary stricture, generalized ductal changes, or bile leakage, and fluid collections were not correlated with bile leakage. Abnormal ultrasound findings were highly predictive of the cholangiographic diagnosis of biliary obstruction or generalized ductal changes (specificity of 98% and 100%, respectively). An irregular appearance of the bile ducts and increased periductal echogenicity proved to be characteristic features for generalized ductal changes.
T Kok; A Van der Sluis; J P Klein; E J Van der Jagt; P M Peeters; M J Slooff; C M Bijleveld; E B Haagsma
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of clinical ultrasound : JCU     Volume:  24     ISSN:  0091-2751     ISO Abbreviation:  J Clin Ultrasound     Publication Date:    1996 Mar-Apr
Date Detail:
Created Date:  1996-12-05     Completed Date:  1996-12-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401663     Medline TA:  J Clin Ultrasound     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  103-15     Citation Subset:  IM    
Department of Diagnostic Radiology, University Hospital Groningen, Netherlands.
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MeSH Terms
Bile Ducts, Extrahepatic / pathology
Bile Ducts, Intrahepatic / pathology
Biliary Fistula / diagnosis,  surgery
Child, Preschool
Cholangiopancreatography, Endoscopic Retrograde
Cholestasis, Extrahepatic / diagnosis*,  surgery
Cholestasis, Intrahepatic / diagnosis*,  surgery
Follow-Up Studies
Liver Diseases / diagnosis,  surgery*
Liver Transplantation*
Middle Aged
Postoperative Complications / diagnosis*,  surgery

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

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