71 results match your criteria: "Bedside Ultrasonography Gallbladder Disease"
Point-of-Care Ultrasound in Clinical Care: Abdomen.
Med Clin North Am
January 2025
POCUS Program, Oregon Health & Science University, Portland, OR, USA.
Abdominal point-of-care ultrasound is an essential diagnostic tool for internal medicine physicians. It can identify intraperitoneal free fluid, evaluate the liver for size, presence of steatosis, and assessment for possible cirrhosis. Diagnosing cholelithiasis or cholecystitis can expedite care.
View Article and Find Full Text PDFDiagnostic performance of ultrasound in acute cholecystitis: a systematic review and meta-analysis.
World J Emerg Surg
November 2023
Department of Internal Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
Article Synopsis
- An updated systematic review examined the effectiveness of ultrasound (US) for diagnosing acute cholecystitis (AC), analyzing data from 40 studies involving over 8,600 patients.
- The review found that US demonstrated a pooled sensitivity of 71%, specificity of 85%, and overall accuracy of 83% in diagnosing AC, with varied performance by different practitioners (emergency physicians, surgeons, and radiologists).
- The study concludes that ultrasound is a reliable imaging tool for diagnosing AC, particularly effective when performed by emergency physicians, but no significant differences in accuracy were observed among different groups of practitioners.
US-guided trocar versus Seldinger technique for percutaneous cholecystostomy (TROSELC II trial).
Abdom Radiol (NY)
July 2023
2nd Department of Radiology, School of Medicine, University General Hospital "Attikon", National and Kapodistrian University of Athens, Rimini 1, Haidari, 124 62, Athens, Greece.
Objectives: The purpose of this study is to investigate the safety and effectiveness of the US-guided bedside trocar vs. the Seldinger technique for percutaneous cholecystostomy (PC) procedures.
Methods: This is a prospective single-center, randomized, controlled trial (RCT) comparing the trocar (group T; 50 patients [27 men]; mean [± SD] age, 74.
The Accuracy of Point-of-Care Ultrasound (POCUS) in Acute Gallbladder Disease.
Diagnostics (Basel)
March 2023
Department of Surgery, Royal College of Surgeons in Ireland, Connolly Hospital, Blanchardstown, D02 YN77 Dublin, Ireland.
There is increasing recognition that point-of-care ultrasound (POCUS), performed by the clinician at the bedside, can be a natural extension of the clinical examination-the modern abdominal "stethoscope" and provides an opportunity to expedite the care pathway for patients with acute gallbladder disease. The primary aims of this study were to benchmark the accuracy of surgeon-performed POCUS in suspected acute gallbladder disease against standard radiology or pathology reports and to compare time to POCUS diagnosis with time to definitive imaging. This prospective single-arm observational cohort study was conducted in four hospitals in Ireland, Italy, and Portugal to assess the accuracy of POCUS against standard radiology in patients with suspected acute biliary disease (ClinicalTrials.
View Article and Find Full Text PDFPercutaneous transhepatic ultrasound-guided gallbladder aspiration: Still a safe option for gallbladder decompression in patients at high surgical risk.
Med Ultrason
March 2023
Department of Gastroenterology, Hepatology and Endocrinology, Hannover Medical School.
Aims: Cholecystitis generally warrants immediate cholecystectomy; however, high-risk patients require non-surgical options for gallbladder decompression. The continuous evolution of endoscopic techniques makes it difficult for clinicians tochoose the best technique for high-risk patients. Here we aimed to show that percutaneous transhepatic gallbladder aspiration, a technique that has fallen into disuse, is a safe and rapid method for gallbladder decompression.
View Article and Find Full Text PDFUltrasound Findings and Laboratory Predictors of Early Mortality in Patients With Severe Yellow Fever.
AJR Am J Roentgenol
May 2021
Instituto de Radiologia (InRad), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Av Dr. Enéas Carvalho de Aguiar, 255, Sao Paulo, Brazil 05403-000.
Article Synopsis
- Yellow fever, a hemorrhagic disease endemic to South America, has led to recent outbreaks, prompting a study to examine abdominal ultrasound findings and their correlation with clinical data in severely affected patients.* -
- A retrospective cohort study evaluated 46 ICU patients with confirmed yellow fever, revealing significant lab results, with 56.5% mortality within 30 days, and specific ultrasound signs such as gallbladder wall thickening and increased renal echogenicity.* -
- Increased renal echogenicity was found to be a significant predictor of 30-day mortality, highlighting the potential of abdominal ultrasound in assessing disease severity and patient prognosis in yellow fever cases.*
A Rare Ultrasonographic Finding of Emphysematous Cholecystitis: The Champagne Sign.
J Emerg Med
June 2021
Department of Emergency Medicine, Izmir Katip Celebi University, Ataturk Training and Research Hospital, Izmir, Turkey.
Article Synopsis
- Emphysematous cholecystitis (EC) is a severe type of gallbladder inflammation prevalent in patients with chronic health issues like diabetes and hypertension, leading to high death rates due to poor pain perception.
- Accurate ultrasonography is crucial for diagnosing EC, particularly for elderly patients with conditions affecting their sensitivity to abdominal pain.
- The case report highlights the "champagne sign," a rare ultrasound indicator showing gas in the gallbladder, which emergency physicians should recognize as it signals potential emphysematous cholecystitis, a life-threatening condition.
Prospective validation of the bedside sonographic acute cholecystitis score in emergency department patients.
Am J Emerg Med
April 2021
Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Article Synopsis
- Acute cholecystitis is challenging to diagnose in the emergency department since no single clinical finding can confirm the disease; therefore, a bedside scoring system would be beneficial for quick assessment.
- This study validated the Bedside Sonographic Acute Cholecystitis (SAC) Score by combining historical symptoms, physical exam signs, and ultrasound findings from patients suspected of having acute cholecystitis in two Boston hospitals over three years.
- The results showed that with a cutoff score of 4, the Bedside SAC Score achieved an impressive sensitivity of 88.9%, indicating its effectiveness in predicting acute cholecystitis in emergency settings.*
Point-of-Care Ultrasound Assists Diagnosis of Spontaneously Passed Common Bile Duct Stone.
J Emerg Med
April 2021
Department of Emergency Medicine, University of Connecticut School of Medicine, Farmington, Connecticut.
Article Synopsis
- Choledocholithiasis, a complication of gallstone disease, affects about 10% of patients, with spontaneous stone migration happening in around 20% of cases.
- A 49-year-old woman with epigastric pain had elevated liver function tests and a dilated common bile duct observed through point-of-care ultrasound (POCUS).
- Rapid assessment using POCUS showed normalization of the common bile duct shortly after initial examination, suggesting that emergency physicians can potentially avoid invasive interventions like ERCP by effectively using ultrasound and lab tests.
Bedside ultrasonography for acute gallstone disease: a diagnostic accuracy study of surgical registrars and emergency medicine physicians.
ANZ J Surg
December 2020
Department of Radiology, Waitematā District Health Board, Auckland, New Zealand.
Article Synopsis
- The study focuses on bedside ultrasound as a method for quickly diagnosing acute gallstone disease, which has been delayed due to long wait times for formal ultrasounds.
- Researchers compared bedside ultrasounds performed by trained clinicians with results from formal radiology scans, involving 124 patients, mostly females around 48 years old.
- Results showed high reliability for detecting gallstones (93% sensitivity), but lower accuracy for diagnosing acute cholecystitis, indicating that bedside ultrasounds can improve surgical efficiency despite some challenges in diagnosis.
Point-of-Care Ultrasonography.
Am Fam Physician
March 2020
Naval Hospital Jacksonville, Jacksonville, FL, USA.
Article Synopsis
- Point-of-care ultrasonography (POCUS) is a bedside imaging technique widely used in fields like obstetrics and emergency medicine, demonstrating accuracy in diagnosing conditions such as deep venous thrombosis and pneumonia.
- While POCUS is effective in ruling out ectopic pregnancies and diagnosing certain conditions like urolithiasis, it is not as precise as CT scans for some issues like pulmonary embolism.
- Various medical organizations provide POCUS training, but while some residency programs have defined standards, credentialing practices remain less established.
Bedside ultrasonography by surgeons: a new diagnostic adjunct for cholecystitis and gallstone disease.
ANZ J Surg
May 2019
Department of Surgery, North Shore Hospital, Auckland, New Zealand.
Hemorrhagic Cholecystitis: A Case of Expedited Diagnosis by Point-of-Care Ultrasound in the Emergency Department.
J Emerg Med
July 2019
Department of Emergency Medicine, Huntington Hospital, Huntington, New York.
Article Synopsis
- Hemorrhagic cholecystitis is a rare but serious complication of acute cholecystitis, making accurate detection challenging due to similar symptoms with more common conditions.
- A case study discusses a 76-year-old man with a complex medical history who was diagnosed with hemorrhagic cholecystitis and gallbladder perforation through point-of-care ultrasound, highlighting the importance of this imaging technique in emergency settings.
- The study emphasizes that emergency physicians should be aware of hemorrhagic cholecystitis, as point-of-care ultrasound can quickly identify this life-threatening condition and guide effective treatment while ruling out other diagnoses.
Is endoscopic sphincterotomy beneficial for the treatment of acute gallstone pancreatitis with small bile duct stone?
Eur J Gastroenterol Hepatol
February 2019
Department of Internal Medicine, Division of Gastroenterology and Hepatology, Yeungnam University College of Medicine, Daegu, Republic of Korea.
Article Synopsis
- Acute gallstone pancreatitis is a condition where a gallstone blocks the ampulla of Vater, and the effectiveness of endoscopic sphincterotomy versus expectant management for treating small bile duct stones in these patients is unclear.
- A study compared 174 patients with small choledocholithiasis, split into two groups: those receiving endoscopic sphincterotomy (64 patients) and those undergoing expectant management (110 patients), looking at various health outcomes and complications.
- The results revealed no significant differences in hospitalization duration, recovery times, or complications between the two methods, suggesting that expectant management may be a viable option for treating this condition.
Point-of-care biliary ultrasound in the emergency department (BUSED): implications for surgical referral and emergency department wait times.
Trauma Surg Acute Care Open
July 2018
Division of Emergency Medicine, Western University, London, Ontario, Canada.
Article Synopsis
- Biliary point-of-care ultrasound (POCUS) is becoming an important tool in emergency departments for diagnosing uncomplicated biliary disease and predicting the need for surgical intervention.
- A study reviewed 283 patients who had POCUS exams, revealing that 43% of those referred to surgery underwent cholecystectomy, with varying sensitivity and specificity for different ultrasound findings like gallstones and gallbladder wall thickness.
- The use of POCUS was linked to shorter emergency room stays, suggesting it provides timely and effective diagnostic information that aids in patient management.
Icterus and abdominal pain: an unexpected, rare sonographic finding in a Peruvian Emergency Department.
Crit Ultrasound J
July 2018
Department of Emergency Medicine, New York-Presbyterian, Brooklyn Methodist Hospital, Brooklyn, NY, USA.
Article Synopsis
- - The use of point-of-care ultrasound (POCUS) is gaining traction in settings with limited resources, as it aids in quickly diagnosing tropical diseases and common health issues right at the patient's bedside.
- - A case of a 27-year-old woman in Peru with jaundice was initially suspected to have an Echinococcus cyst, but POCUS indicated otherwise, leading to the discovery of a choledochal cyst upon surgical examination.
- - Clinicians using ultrasound must remain aware of various potential diagnoses, distinguishing Echinococcus features from other pathologies to ensure appropriate treatment.
Surgeon-Performed Ultrasound in Diagnosing Acute Cholecystitis and Appendicitis.
World J Surg
November 2018
Department of Clinical Science and Education, Department of Surgery, Karolinska Institutet, Södersjukhuset (Stockholm South General Hospital), Sjukhusbacken 10, 118 83, Stockholm, Sweden.
Article Synopsis
- The study compares the effectiveness of surgeon-performed ultrasound (SPUS) and radiologist-performed ultrasound (RPUS) for diagnosing biliary disease and appendicitis in 300 adult patients who needed abdominal ultrasound exams.
- SPUS showed lower sensitivity and accuracy for diagnosing acute cholecystitis and appendicitis compared to RPUS, although it was reliable for identifying gallstones.
- The findings suggest that while SPUS is useful for gallstones, diagnosing cholecystitis and appendicitis remains challenging for both surgeons and radiologists.
Inter-rater agreement between trained emergency medicine residents and radiologists in the examination of gallbladder and common bile duct by ultrasonography.
Emerg Radiol
April 2017
Department of Emergency Medicine, Tehran University of Medical Sciences, Dr Shariati Hospital, Kargar Ave, Tehran, Iran.
Article Synopsis
- The study evaluates the impact of a specialized training program in hepatobiliary ultrasound (US) on novice emergency medicine residents in an emergency department setting.
- Conducted from May 2014 to January 2015, the research involved seven residents who completed a 10-hour ultrasound training and performed 20 hands-on examinations on patients with right upper quadrant pain, with their results compared to those of board-certified radiologists.
- The findings showed a high level of agreement between the residents and radiologists in detecting several gallbladder-related conditions, indicating that effective training can significantly improve ultrasound skills in emergency medicine beginners.
History, Physical Examination, Laboratory Testing, and Emergency Department Ultrasonography for the Diagnosis of Acute Cholecystitis.
Acad Emerg Med
March 2017
Department of Emergency Medicine, SUNY-Downstate Medical Center, Brooklyn, NY.
Article Synopsis
- Acute cholecystitis (AC) is a frequent cause of abdominal pain in emergency department (ED) patients, but the effectiveness of standard diagnostic methods (history, physical examination, lab tests, and ultrasound) for AC has not been fully quantified.
- A systematic review analyzed medical literature from 1965 to 2016 to evaluate how well these diagnostic methods work in identifying AC, comparing them against definitive surgical or radiological diagnoses.
- The review found varying sensitivity and specificity for different symptoms and signs; for example, Murphy's sign showed high sensitivity (62%) and very high specificity (96%), indicating its usefulness in diagnosing AC within the ED.
Accuracy of Surgeon-Performed Ultrasound in Detecting Gallstones: A Validation Study.
World J Surg
July 2016
Department of Clinical Science and Education, Department of Surgery, Karolinska Institutet, Södersjukhuset (Stockholm South General Hospital), Sjukhusbacken 10, 118 83, Stockholm, Sweden.
Article Synopsis
- Symptomatic gallstone disease is commonly diagnosed in patients with abdominal pain, and ultrasound is the preferred diagnostic method, potentially allowing for faster assessment by surgeons at the bedside.
- A study involving 179 patients compared ultrasound results from surgeons, who received four weeks of training, to those of radiologists, finding that surgeon-performed ultrasounds had a 94% accuracy rate in detecting gallstones.
- The findings showed strong agreement between surgeons and radiologists, suggesting that surgeons trained in ultrasound can accurately diagnose gallstones.
Bedside EUS-guided treatment in a critically ill patient with acute cholecystitis.
Gastrointest Endosc
June 2016
Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad alta specializzazione), Palermo, Italy.
Update on bedside ultrasound (US) diagnosis of acute cholecystitis (AC).
Intern Emerg Med
March 2016
Centre of Research and Learning in Ultrasound, Department of Internal Medicine, Maggiore Hospital, Bologna, Italy.
Article Synopsis
- Acute cholecystitis (AC) is a common reason for hospitalization due to stomach issues and often occurs when gallstones are present, leading to specific clinical signs.
- The first step in diagnosing AC is usually an upper abdominal ultrasound (US), but imaging techniques like CT or MRI can be used to rule out complications.
- Bedside ultrasound can effectively identify gallstones and acute pain, showing a high predictive value for AC when combined with physical examination by an experienced clinician.
Bedside Endoscopic Ultrasound-guided Transgastric Gallbladder Aspiration and Lavage in a High-risk Surgical Case Due to Acute Cholecystitis Accompanied by Multiorgan Failure.
Korean J Gastroenterol
June 2015
Department of Gastroenterology, Presbyterian Medical Center, Seonam University College of Medicine, Jeonju, Korea.
Article Synopsis
- - Cholangitis and cholecystitis are serious abdominal infections that can lead to sepsis and multi-organ failure if not treated promptly.
- - A 58-year-old man developed severe complications after an ERCP, including rhabdomyolysis and multi-organ failure, despite receiving broad-spectrum antibiotics.
- - The patient's condition improved significantly after a specialized procedure, EUS-guided transgastric gallbladder aspiration and lavage, demonstrating its effectiveness in treating these infections.
Contrast-enhanced ultrasonography to diagnose complicated acute cholecystitis.
Intern Emerg Med
February 2016
Division of Internal Medicine, Department of Medical and Surgical Sciences DIMEC, University of Bologna S. Orsola-Malpighi Hospital, Via Albertoni 15, 40138, Bologna, Italy.
Article Synopsis
- * Contrast-enhanced computed tomography (ceCT) is the most reliable diagnostic method currently, but contrast-enhanced ultrasonography (CEUS) is emerging as a potential alternative, although research on its effectiveness is limited.
- * A study with 8 patients showed that CEUS could accurately identify complicated cholecystitis and revealed specific wall defects in the gallbladder, suggesting it's a promising, non-invasive tool for preoperative diagnosis.
Article Synopsis
- Modern ultrasound machines are cheap and easy to use, making basic exams accessible to many providers.
- Mastering ultrasound skills requires practice and guidance from experienced professionals.
- Hands-on ultrasound courses and free online resources are available, with a specific training course offered at UMMC in spring 2015; interested individuals should contact Dr. Brian Tollefson for details.