Imaging acute cholecystitis, one test is enough

Authors

Kevin M. Schuster, Department of Surgery, Yale School of Medicine, New Haven, CT, USA. Electronic address: kevin.schuster@yale.edu.Follow
Thomas J. Schroeppel, Department of Surgery, UC Health, Colorado Springs, CO, USA. Electronic address: Thomas.Schroeppel@uchealth.org.Follow
Rick O'Connor, Department of Surgery, Yale School of Medicine, New Haven, CT, USA. Electronic address: Rick.o'connor@ynhh.org.Follow
Toby M. Enniss, Department of Surgery, University of Utah School, of Medicine, Salt Lake City, UT, USA. Electronic address: Toby.Enniss@hsc.utah.edu.Follow
Michael Cripps, Department of Surgery, University of Colorado Aurora, CO, USA. Electronic address: michael.cripps@cuanschutz.edu.Follow
Daniel C. Cullinane, Department of Surgery, Marshfield Clinic, Marshfield, WI, USA. Electronic address: cullinane.daniel@marshfieldclinic.org.Follow
Haytham M. Kaafarani, Department of Surgery, Massachusetts General Hospital, Boston, MA, USA. Electronic address: HKAAFARANI@mgh.harvard.edu.Follow
Marie Crandall, Department of Surgery, University of Florida, College of Medicine, Jacksonville, Jacksonville, FL, USA. Electronic address: Marie.Crandall@jax.ufl.edu.Follow
Ruchir Puri, Department of Surgery, University of Florida, College of Medicine, Jacksonville, Jacksonville, FL, USA. Electronic address: Ruchir.Puri@jax.ufl.edu.Follow
Gail T. Tominaga, Department of Surgery, Scripps Memorial, Hospital La Jolla, La Jolla, CA, USA. Electronic address: Tominaga.Gail@scrippshealth.org.Follow

Document Type

Article

Publication Title

American journal of surgery

Abstract

BACKGROUND: Patients with right upper quadrant pain are often imaged using multiple modalities with no established gold standard. A single imaging study should provide adequate information for diagnosis. METHODS: A multicenter study of patients with acute cholecystitis was queried for patients who underwent multiple imaging studies on admission. Parameters were compared across studies including wall thickness (WT), common bile duct diameter (CBDD), pericholecystic fluid and signs of inflammation. Cutoff for abnormal values were 3 mm for WT and 6 mm for CBDD. Parameters were compared using chi-square tests and Intra-class correlation coefficients (ICC). RESULTS: Of 861 patients with acute cholecystitis, 759 had ultrasounds, 353 had CT and 74 had MRIs. There was excellent agreement for wall thickness (ICC = 0.733) and bile duct diameter (ICC = 0.848) between imaging studies. Differences between wall thickness and bile duct diameters were small with nearly all <1 mm. Large differences (>2 mm) were rare (<5%) for WT and CBDD. CONCLUSIONS: Imaging studies in acute cholecystitis generate equivalent results for typically measured parameters.

First Page

99

Last Page

103

DOI

10.1016/j.amjsurg.2023.02.018

Publication Date

7-1-2023

Recommended Citation

Schuster, Kevin M.; Schroeppel, Thomas J.; O'Connor, Rick; Enniss, Toby M.; Cripps, Michael; Cullinane, Daniel C.; Kaafarani, Haytham M.; Crandall, Marie; Puri, Ruchir; and Tominaga, Gail T., "Imaging acute cholecystitis, one test is enough" (2023). Surgery. 25.
https://scholar.bridgeporthospital.org/surgery/25

Identifier

36882336 (pubmed); 10.1016/j.amjsurg.2023.02.018 (doi); S0002-9610(23)00086-7 (pii)