Aussagefähigkeit der sonographischen Gallenblasenfunktionsprüfung bei Cholezystolithiasis

Autor:	M. Kemen, Kalthoff L, Wedmann B, G. Schmidt-Heinevetter, Sonnleitner E, Wegener M
Rok vydání:	2008
Předmět:	Test meal medicine.medical_specialty Gallbladder function business.industry General surgery Ultrasound General Medicine Predictive value Gastroenterology Internal medicine medicine Acute cholecystitis Volume reduction business Cystic duct occlusion Extracorporeal lithotripsy
Zdroj:	DMW - Deutsche Medizinische Wochenschrift. 116:1697-1701
ISSN:	1439-4413 0012-0472
DOI:	10.1055/s-2008-1063806
Popis:	Decrease in gall-bladder volume after intake of a test meal was assessed by ultrasound in 30 patients (24 females, 6 males; mean age 55 [22-82] years) with indications for elective or early elective cholecystectomy for cholelithiasis. Patients were assigned to three groups, based on intraoperative and histological gall-bladder changes: group 1 (n = 17), without changes or with mild chronic cholecystitis; group 2 (n = 4), with severe chronic inflammatory changes; group 3 (n = 9), with acute cholecystitis or cystic duct occlusion. A volume decrease of at least 30% after the test meal excluded only acute wall inflammation (negative predictive value 95.5%), while a volume reduction of at least 50% made it possible in a high percentage of cases (negative predictive value 88.2%) to predict correctly an absence of severe chronic wall changes. Before organ-preserving treatment (extracorporeal lithotripsy or local litholysis) is undertaken, gall-bladder volume reduction of at least 50% should be documented.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::fe0074f3e80dcc29fb3a736643ac4543 https://doi.org/10.1055/s-2008-1063806 Zobrazit plný text záznamu