COMPARATIVE STUDY
JOURNAL ARTICLE

The role of endoscopic ultrasonography in biliary tract disease: obstructive jaundice

H Dancygier, C Nattermann
Endoscopy 1994, 26 (9): 800-2
7712994
Forty-one patients (22 females, 19 males, mean age 74 years, range 41-93) with extrahepatic obstructive jaundice were evaluated by transcutaneous sonography (US), endoscopic ultrasonography (EUS), and endoscopic retrograde cholangiopancreatography (ERCP) within 24 hours of hospital admission. EUS was always performed after US and immediately prior to ERCP, the latter being considered the "gold standard" for this study. EUS findings were documented according to a pre-set data protocol in a blind fashion with respect to ERCP results. Common bile duct (CBD) dilatation was demonstrated by all three methods. Stones in the distal CBD causing obstruction were demonstrated by EUS in 15 out of 16 patients, but in only seven cases by US. In 25 patients, the underlying malignant disease was identified by EUS as well as ERCP, and the level of biliary obstruction was correctly determined by both methods, while with US this was possible only in 17 (89%) and 20 (80%) cases, respectively. In comparison with ERCP, EUS provided a direct image of the tumor and allowed for regional staging in all patients. EUS was superior to US in elucidating the cause of biliary obstruction. EUS provides an additional means to decide quickly on appropriate therapy. At present, a shortcoming of the method is that no therapeutic interventions can be performed during EUS examination.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Trending Papers

Remove bar
Read by QxMD icon Read
7712994
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"