ACCURACY OF SURGEON-PERFORMED ABDOMINAL UTRASOUND FOR GALLSTONES
AbstractBackground: Gallstone disease is common in Pakistan. It is primarily diagnosed by ultrasonography, which is traditionally done by radiologists. If surgeons could perform ultrasonography, it would enable early diagnosis in one-stop clinic. This study was done to evaluate the accuracy of surgeon-performed abdominal ultrasonography to detect gallstones. Methods: This study was carried out at Surgical A and Surgical C units of Ayub Teaching Hospital, Abbottabad from July, 2000 to December, 2002. One hundred fourty two patients with signs and symptoms of gallstone disease who had ultrasonography performed by a surgeon, trained in ultrasonography were exclusively studied. These patients were referred for further scanning by the radiologists who were unaware of the surgeon’s interpretation. The results of surgeon and radiologist performed ultrasonography were compared. Results: The interpretation of surgeon-performed ultrasonography was correct in 100 patients and incorrect in 42 patients. There were 100 True Positive, 41 True Negative, One False Negative and Zero False Positive scans yielding 99% Sensitivity, 100% Specificity and 99.3% Accuracy. Sensitivity of surgeon-performed ultrasonography in detecting gallstones compared to operative findings was 100%. Conclusions: Abdominal ultrasonography performed by an ultrasonography trained surgeon can detect gallstones as accurately as by a radiologist.Key Words: ultrasonography, cholelithiasis, surgeon, diagnosis
Britton J, Bickerstaff KI, Savage A. Benign diseases of the biliary tract. In: Morris PJ, Malt RA (Eds).Oxford Textbook of Surgery. Oxford. 1995: 1209-42.
Shah K, Wolfe RE. Hepatobiliary ultrasound. Emerg Med Clin North Am, 2004;22: 661-73.
Luck AJ, Maddern GJ. Intraoperative abdominal ultrasonography. Br J Surg, 1999; 86:5-16.
Jang T, Aubin C, Naunheim R. Minimal training for right upper quadrant ultrasonography. Am J Emerg Med, 2004;22: 439-43
Rozycki GS. Surgeon-performed ultrasound: its use in clinical practice. Ann Surg 1998; 228:16-28.
Vesey SG, O’Boyle PJ, Lumb GN. Ultrasound scanning by the urologist in outpatient clinics. Br J Surg, 1998; 75:921-2.
Berber E, Siperstein AE. Laparoscopic ultrasound. Surg Clin North Am 2004;84:1061-84.
Fang R, Pilcher JA, Putnam AT, Smith T, Smith DL. Accuracy of surgeon-performed gallbladder ultrasound. Am J Surg 1999;178:475-9.
American College of Surgeons. Division of Education. http://www.facs.org/education/ultrasound
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.