We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Diagnosis of Postoperative Bile Leaks.
- Authors
Brugge, William R.; Rosenberg, Dale L.; Alavi, Abass
- Abstract
Bile leaks are the most common biliary complication of laparoscopic cholecystectomy. Cholescintigraphy bas been utilized in the past to diagnose postoperative bile leaks after open cholecystectomy. However, the sensitivity and specificity of this imaging technique bas not been defined or compared to other clinical tests. We have retrospectively studied 30 patients over a 2-yr period who underwent cholescintigraphy for a possible postoperative bile leak. This study reviewed the cholescintigraphy images, clinical presentations, and abdominal ultrasonography/CT scanning. Using a gold standard that consisted of the findings of cholangiography and clinical outcome, we determined the diagnostic accuracy of these tests. Symptoms, laboratory testing, and physical examination were found to be poor predictors for the presence of postoperative bile leaks. Ultrasound and CT imaging were less sensitive and nonspecific. In contrast, cholescintigraphy was found to be quite accurate (83-87%) for predicting the presence of bile leaks after laparoseopic cholecystectomy, as well as other biliary surgeries.
- Subjects
LAPAROSCOPY; CHOLECYSTECTOMY; BILE; ULTRASONIC imaging; MEDICINE
- Publication
American Journal of Gastroenterology (Springer Nature), 1994, Vol 89, Issue 12, p2178
- ISSN
0002-9270
- Publication type
Article