Diseases and diagnosis of the biliary system : When does the gastroenterologist need the radiologist?

Der Radiologe
Thomas von HahnA Potthoff

Abstract

Biliary diseases require fast and rational use of diagnostic tests by both gastroenterologists and radiologists. Standard diagnostic workup includes transabdominal ultrasound, endoscopic retrograde cholangiography (ERC), endoscopic ultrasound, direct cholangioscopy, magnetic resonance cholangiopancreatography (MRI/MRCP), and computed tomography (CT). Modular cholangioscopy is a novel diagnostic method. The goal of diagnostic examinations is the determination of the location of obstructions and differentiation of benign from malignant lesions. Transabdominal ultrasound is risk-free and can show the gallbladder in great detail providing high diagnostic accuracy in most conditions. Endoscopic ultrasound, ERC and/or cholangioscopy are powerful tools to investigate the large bile ducts but are associated with inherent procedural risks. Gall bladder diseases can often be diagnosed with transabdominal ultrasound alone. Bile duct disease often requires the use of endoscopic ultrasound, ERC and/or cholangioscopy.

References

Jun 23, 2011·Scandinavian Journal of Gastroenterology·Thomas von HahnNisar P Malek
Jan 26, 2012·Current Opinion in Gastroenterology·Michael J LevyGregory J Gores
Aug 17, 2012·Gut·Shahid A KhanUNKNOWN British Society of Gastroenterology
Jun 29, 2013·The American Journal of Emergency Medicine·Shaoshan TangYijiao Wang
Feb 27, 2015·The Cochrane Database of Systematic Reviews·Kurinchi Selvan GurusamyBrian R Davidson
May 13, 2015·Best Practice & Research. Clinical Gastroenterology·Kristina I Ringe, Frank Wacker
Dec 29, 2016·Liver International : Official Journal of the International Association for the Study of the Liver·Jennifer L Horsley-SilvaKeith D Lindor
Apr 22, 2017·Journal of Hepatology·UNKNOWN European Society of Gastrointestinal EndoscopyUNKNOWN European Association for the Study of the Liver
Nov 16, 2017·Zeitschrift für Gastroenterologie·UNKNOWN Deutsche Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS) (federführend)UNKNOWN Externe Begutachtung durch:

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Citations

Nov 11, 2019·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·A AlvanosD Seehofer

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