Nonvisualized gallbladder on oral cholecystography: implications for lithotripsy
(1990) In Gastrointestinal Radiology 15(1). p.126-128- Abstract
- Currently, most protocols evaluating the efficacy of gallstone lithotripsy require a visualized gallbladder on oral cholecystography (OCG). The primary purpose of the OCG is to establish that the cystic duct is patent. When the gallbladder is visualized on OCG, it can also be used to number and size gallstones accurately. Patients with non-visualization of the gallbladder on OCG are excluded from consideration for lithotripsy. The purpose of this study was to evaluate retrospectively the ultrasonographic findings (i.e., number and sizes of stones in 32 patients with nonvisualization on the OCG). In 11 patients (34%) ultrasound (US) did not detect any stone, and it is presumed that the gallbladder failed to visualize for other reasons. Six... (More)
- Currently, most protocols evaluating the efficacy of gallstone lithotripsy require a visualized gallbladder on oral cholecystography (OCG). The primary purpose of the OCG is to establish that the cystic duct is patent. When the gallbladder is visualized on OCG, it can also be used to number and size gallstones accurately. Patients with non-visualization of the gallbladder on OCG are excluded from consideration for lithotripsy. The purpose of this study was to evaluate retrospectively the ultrasonographic findings (i.e., number and sizes of stones in 32 patients with nonvisualization on the OCG). In 11 patients (34%) ultrasound (US) did not detect any stone, and it is presumed that the gallbladder failed to visualize for other reasons. Six patients (19%) had one or two stones and 15 (47%) patients had more than three stones. This suggests that 20% of patients with nonvisualization of the gallbladder on OCG would otherwise be eligible for lithotripsy provided that patency of the cystic duct can be demonstrated by other means, such as computed tomographic (CT) examination with oral biliary contrast or cholescintigraphy. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1105154
- author
- Wong, Kin ; Ekberg, Olle LU ; Laufer, Igor ; Malet, Peter F and Arger, Peter
- publishing date
- 1990
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Oral cholecystography - diagnostic accuracy, Extracorporeal shock wave lithotripsy - gallstone
- in
- Gastrointestinal Radiology
- volume
- 15
- issue
- 1
- pages
- 126 - 128
- publisher
- Springer
- external identifiers
-
- pmid:2180774
- scopus:0025190704
- ISSN
- 0364-2356
- DOI
- 10.1007/BF01888754
- language
- English
- LU publication?
- no
- id
- 57c28446-fcf2-4b79-8da0-69fbc0c2aaf7 (old id 1105154)
- date added to LUP
- 2016-04-01 16:08:44
- date last changed
- 2021-01-03 08:35:13
@article{57c28446-fcf2-4b79-8da0-69fbc0c2aaf7, abstract = {{Currently, most protocols evaluating the efficacy of gallstone lithotripsy require a visualized gallbladder on oral cholecystography (OCG). The primary purpose of the OCG is to establish that the cystic duct is patent. When the gallbladder is visualized on OCG, it can also be used to number and size gallstones accurately. Patients with non-visualization of the gallbladder on OCG are excluded from consideration for lithotripsy. The purpose of this study was to evaluate retrospectively the ultrasonographic findings (i.e., number and sizes of stones in 32 patients with nonvisualization on the OCG). In 11 patients (34%) ultrasound (US) did not detect any stone, and it is presumed that the gallbladder failed to visualize for other reasons. Six patients (19%) had one or two stones and 15 (47%) patients had more than three stones. This suggests that 20% of patients with nonvisualization of the gallbladder on OCG would otherwise be eligible for lithotripsy provided that patency of the cystic duct can be demonstrated by other means, such as computed tomographic (CT) examination with oral biliary contrast or cholescintigraphy.}}, author = {{Wong, Kin and Ekberg, Olle and Laufer, Igor and Malet, Peter F and Arger, Peter}}, issn = {{0364-2356}}, keywords = {{Oral cholecystography - diagnostic accuracy; Extracorporeal shock wave lithotripsy - gallstone}}, language = {{eng}}, number = {{1}}, pages = {{126--128}}, publisher = {{Springer}}, series = {{Gastrointestinal Radiology}}, title = {{Nonvisualized gallbladder on oral cholecystography: implications for lithotripsy}}, url = {{http://dx.doi.org/10.1007/BF01888754}}, doi = {{10.1007/BF01888754}}, volume = {{15}}, year = {{1990}}, }