This Article  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Joseph E. Geenen, MD; Rama P. Venu, MD; Walter J. Hogan, MD; Edward Stewart, MD
Medical College of Wisconsin Milwaukee

JAMA. 1984;251(1):40.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.—

Dr Beckman is certainly justified in reemphasizing that welldone real-time ultrasound is excellent in the detection of cholelithiasis. The problems in detection of choledocholithiasis by ultrasound are well known. Unfortunately, many of the patients in our series were examined using sector scanners before the widespread use of real time, and results have now improved. Regardless of this improvement and the results reported in the literature concerning the accuracy of ultrasound, we continue to see patients in whom stones have been overlooked in the gallbladder or common duct or both by oral cholecystograms and ultrasound. Endoscopicretrograde cholangiopancreatography is an expensive and time-consuming procedure. The question is, in which patients should invasive procedures such as this be considered? Our data, we believe, help to answer this question. Of the 32 patients with transiently abnormal liver function test results, 25 were shown to have stones at ERCP. We believe that the . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?