Publisher: Research Institute for Gastroenterology and Liver Diseases (RIGLD)
  • Register
  • Login

Gastroenterology and Hepatology from Bed to Bench

  • Home
  • Issues
    • Current
    • Archives
  • About
    • About the Journal
    • Aims and Scope
    • Editorial Team
    • Privacy Statement
    • Contact
  • For Authors
    • Submissions
    • Author Guidelines
    • Peer Review Process
  • Indexing & Abstracting
  • Announcements
Advanced Search
  1. Home
  2. Archives
  3. Vol. 3 No. 3 (2010): Summer
  4. New Section Title Here

Vol. 3 No. 3 (2010)

June 2010

The role of endoscopic ultrasonography in detection of gall bladder microlithiasis, sludge and stone in patients with biliary pain

  • Amir Houshang Mohammad Alizadeh
  • Farahnaz Fallahian
  • Mahsa Khodadoostan
  • Hamid Mohaghegh Shalmani
  • Mohammad Reza Zali

Gastroenterology and Hepatology from Bed to Bench, Vol. 3 No. 3 (2010), 20 June 2010
https://doi.org/10.22037/ghfbb.v3i3.99 Published: 2010-06-20

  • View Article
  • Download
  • Cite
  • Statastics
  • Share

Abstract

Aim: To evaluate the role of  endoscopic ultrasonography (EUS) in the diagnosis of gallbladder microlithiasis, sludge, and stone  in patients with clinical suspicion of cholecystitis, but with normal transabdominal ultrasonography (TUS) during six months follow-up after laparosopic cholecystectomy (LCT).

Background: Endosonography has been shown to be highly sensitive in the detection of choledocholithiasis, especially in patients with small stones and nondilated bile ducts, and gallbladder microlithiasis.

Patients and methods: A prospective study was performed on patients with biliary pain and normal transabdominal ultrasonography, for presence of microlithiasis, sludge, and stone in gallbladder at Arad hospital, Tehran, Iran from January 2004 to January 2007. EUS examination was performed with a mechanical radial scanning UM-20 echo-endoscope (Olympus Optical, Tokyo, Japan). Patients in whom EUS demonstrated gallbladder sludge, microlithisis, and stone were offered laparoscopic cholecystectomy within one week.

Results: A total of 245 patients (176 female and 69 male) were included in this study from January 2005 to January 2007. 88 out of 245 (36%) patients had gallbladder abnormalities which were diagnosed by EUS including: 43 gallbladder microlithiasis (48.3%), 23 gallbladder sludge (26%), 22 gallbladder stone (24.7%). Surgery performed for all these cases. Episodes of biliary pain during six months after LC reported in eight cases with gallbladder stone, but in no cases of microlithiasis or sludge.

Conclusion: EUS seems to be a choice imaging method for detection of microlithiasis, sludge and stone of gallbladder in patients with biliary colic but normal transabdominal ultrasonography. In subjects with biliary pain and negative EUS, it is not reasonable to offer cholecystectomy.
Keywords:
  • Gallbladder microlithiasis
  • Sludge
  • Stone
  • Radial endoscopic ultrasonography
  • PDF

How to Cite

Mohammad Alizadeh, A. H., Fallahian, F., Khodadoostan, M., Mohaghegh Shalmani, H., & Zali, M. R. (2010). The role of endoscopic ultrasonography in detection of gall bladder microlithiasis, sludge and stone in patients with biliary pain. Gastroenterology and Hepatology from Bed to Bench, 3(3). https://doi.org/10.22037/ghfbb.v3i3.99
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX
  • Abstract Viewed: 158 times
  • PDF Downloaded: 206 times

Download Statastics

  • Linkedin
  • Twitter
  • Facebook
  • Google Plus
  • Telegram

Developed By

Open Journal Systems
  • Home
  • Archives
  • Submissions
  • About the Journal
  • Editorial Team
  • Contact

GHFBB journal is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).

Print ISSN: 2008-2258
Online ISSN: 2008-4234

Support Contact: ghfbb.journal@gmail.com

 

GHFBB is an open-access journal and does not charge fees for authors who submit their articles and for readers who access PDF files of published articles.