Ultrasound and cholangiography for the diagnosis of biliary complications after orthotopic liver transplantation: A comparative study
The ability of ultrasound to detect biliary obstruction, bile leakage and generalized ductal changes after orthotopic liver transplantation (OLT) was compared to cholangiography. Cholangiography was considered to be the gold standard. Adequate opacification of the biliary tree was achieved in 139 ch...
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| Veröffentlicht in: | Journal of clinical ultrasound 1996-03, Vol.24 (3), p.103-115 |
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| creator | Kok, T. Van der Sluis, A. Klein, J. P. Van der Jagt, E. J. Peeters, P. M. J. G. Slooff, M. J. H. Bijleveld, C. M. A. Haagsma, E. B. |
| description | The ability of ultrasound to detect biliary obstruction, bile leakage and generalized ductal changes after orthotopic liver transplantation (OLT) was compared to cholangiography. Cholangiography was considered to be the gold standard. Adequate opacification of the biliary tree was achieved in 139 cholangiograms. Biliary obstruction, intermediate or large bile leakage, and generalized ductal changes were diagnosed with cholangiography in 15% (21/139), 14% (20/139), and 16% (22/139), respectively. Normal ultrasound findings could not exclude biliary stricture, generalized ductal changes, or bile leakage, and fluid collections were not correlated with bile leakage. Abnormal ultrasound findings were highly predictive of the cholangiographic diagnosis of biliary obstruction or generalized ductal changes (specificity of 98% and 100%, respectively). An irregular appearance of the bile ducts and increased periductal echogenicity proved to be characteristic features for generalized ductal changes. © 1996 John Wiley & Sons, Inc. |
| doi_str_mv | 10.1002/(SICI)1097-0096(199603)24:3<103::AID-JCU1>3.0.CO;2-L |
| format | Article |
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P. ; Van der Jagt, E. J. ; Peeters, P. M. J. G. ; Slooff, M. J. H. ; Bijleveld, C. M. A. ; Haagsma, E. B.</creator><creatorcontrib>Kok, T. ; Van der Sluis, A. ; Klein, J. P. ; Van der Jagt, E. J. ; Peeters, P. M. J. G. ; Slooff, M. J. H. ; Bijleveld, C. M. A. ; Haagsma, E. B.</creatorcontrib><description>The ability of ultrasound to detect biliary obstruction, bile leakage and generalized ductal changes after orthotopic liver transplantation (OLT) was compared to cholangiography. Cholangiography was considered to be the gold standard. Adequate opacification of the biliary tree was achieved in 139 cholangiograms. Biliary obstruction, intermediate or large bile leakage, and generalized ductal changes were diagnosed with cholangiography in 15% (21/139), 14% (20/139), and 16% (22/139), respectively. Normal ultrasound findings could not exclude biliary stricture, generalized ductal changes, or bile leakage, and fluid collections were not correlated with bile leakage. Abnormal ultrasound findings were highly predictive of the cholangiographic diagnosis of biliary obstruction or generalized ductal changes (specificity of 98% and 100%, respectively). An irregular appearance of the bile ducts and increased periductal echogenicity proved to be characteristic features for generalized ductal changes. © 1996 John Wiley & Sons, Inc.</description><identifier>ISSN: 0091-2751</identifier><identifier>EISSN: 1097-0096</identifier><identifier>DOI: 10.1002/(SICI)1097-0096(199603)24:3<103::AID-JCU1>3.0.CO;2-L</identifier><identifier>PMID: 8838298</identifier><identifier>CODEN: JCULDD</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Adult ; Bile Ducts, Extrahepatic - pathology ; Bile Ducts, Intrahepatic - pathology ; biliary complications ; Biliary Fistula - diagnosis ; Biliary Fistula - surgery ; Biological and medical sciences ; Child ; Child, Preschool ; Cholangiography ; Cholangiopancreatography, Endoscopic Retrograde ; Cholestasis, Extrahepatic - diagnosis ; Cholestasis, Extrahepatic - surgery ; Cholestasis, Intrahepatic - diagnosis ; Cholestasis, Intrahepatic - surgery ; Female ; Follow-Up Studies ; Humans ; Infant ; Liver Diseases - diagnosis ; Liver Diseases - surgery ; Liver Transplantation ; Liver, biliary tract, pancreas, portal circulation, spleen ; Male ; Medical sciences ; Middle Aged ; orthotopic liver transplantation ; Postoperative Complications - diagnosis ; Postoperative Complications - surgery ; Reoperation ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system</subject><ispartof>Journal of clinical ultrasound, 1996-03, Vol.24 (3), p.103-115</ispartof><rights>Copyright © 1995 John Wiley & Sons, Inc.</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3421-10daca3defb41c17580a15277a04cd2453989aff8491a7a24299f788fb0499f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F%28SICI%291097-0096%28199603%2924%3A3%3C103%3A%3AAID-JCU1%3E3.0.CO%3B2-L$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F%28SICI%291097-0096%28199603%2924%3A3%3C103%3A%3AAID-JCU1%3E3.0.CO%3B2-L$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2510630$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8838298$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kok, T.</creatorcontrib><creatorcontrib>Van der Sluis, A.</creatorcontrib><creatorcontrib>Klein, J. P.</creatorcontrib><creatorcontrib>Van der Jagt, E. J.</creatorcontrib><creatorcontrib>Peeters, P. M. J. G.</creatorcontrib><creatorcontrib>Slooff, M. J. H.</creatorcontrib><creatorcontrib>Bijleveld, C. M. A.</creatorcontrib><creatorcontrib>Haagsma, E. B.</creatorcontrib><title>Ultrasound and cholangiography for the diagnosis of biliary complications after orthotopic liver transplantation: A comparative study</title><title>Journal of clinical ultrasound</title><addtitle>J. Clin. Ultrasound</addtitle><description>The ability of ultrasound to detect biliary obstruction, bile leakage and generalized ductal changes after orthotopic liver transplantation (OLT) was compared to cholangiography. Cholangiography was considered to be the gold standard. Adequate opacification of the biliary tree was achieved in 139 cholangiograms. Biliary obstruction, intermediate or large bile leakage, and generalized ductal changes were diagnosed with cholangiography in 15% (21/139), 14% (20/139), and 16% (22/139), respectively. Normal ultrasound findings could not exclude biliary stricture, generalized ductal changes, or bile leakage, and fluid collections were not correlated with bile leakage. Abnormal ultrasound findings were highly predictive of the cholangiographic diagnosis of biliary obstruction or generalized ductal changes (specificity of 98% and 100%, respectively). An irregular appearance of the bile ducts and increased periductal echogenicity proved to be characteristic features for generalized ductal changes. © 1996 John Wiley & Sons, Inc.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Bile Ducts, Extrahepatic - pathology</subject><subject>Bile Ducts, Intrahepatic - pathology</subject><subject>biliary complications</subject><subject>Biliary Fistula - diagnosis</subject><subject>Biliary Fistula - surgery</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cholangiography</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Cholestasis, Extrahepatic - diagnosis</subject><subject>Cholestasis, Extrahepatic - surgery</subject><subject>Cholestasis, Intrahepatic - diagnosis</subject><subject>Cholestasis, Intrahepatic - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant</subject><subject>Liver Diseases - diagnosis</subject><subject>Liver Diseases - surgery</subject><subject>Liver Transplantation</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>orthotopic liver transplantation</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - surgery</subject><subject>Reoperation</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><issn>0091-2751</issn><issn>1097-0096</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkdtuEzEQhlcIVELhEZB8gVB7scGHPTkgpGhDQ1DUSLSFy5HjtRPTTbzYu4U8AO-Nc9ByARIX1njG48-_54-idwQPCcb0zcXNrJxdEszzGGOeXRDOM8wuaTJioYeNRuPZJP5U3pH3bIiH5eItjeePokF_4XE0CIHENE_J0-iZ998wxlmapmfRWVGwgvJiEP26q1snvO22FRJhybWtxXZl7MqJZr1D2jrUrhWqjFhtrTceWY2WpjbC7ZC0m6Y2UrTGbj0SulUOWdeubWsbI1FtHkIh4Le-CdD20DdC48M94UL6oJBvu2r3PHqiRe3Vi1M8j26vPtyWH-P5Yjorx_NYsoSSmOBKSMEqpZcJkSRPCyxISvNc4ERWNEkZL7jQukg4EbmgCeVc50WhlzgJO3YevT5iG2e_d8q3sDFeqjqIU7bzkBeMM5JmrH9fOuu9UxoaZzbhy0Aw7M0B2JsD-1nDftZwNAdoAixUGUAwB_bmhBxDuQAK84B9eXq_W25U1UNPboTzV6dz4aWodZicNL5voynBGcN_1P0wtdr9Je0_yv4h7JAHbHzEGt-qnz1WuHvIcpan8PV6CpPr5ObL1eQzTNlv6ujIiQ</recordid><startdate>199603</startdate><enddate>199603</enddate><creator>Kok, T.</creator><creator>Van der Sluis, A.</creator><creator>Klein, J. P.</creator><creator>Van der Jagt, E. J.</creator><creator>Peeters, P. M. J. G.</creator><creator>Slooff, M. J. H.</creator><creator>Bijleveld, C. M. A.</creator><creator>Haagsma, E. B.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199603</creationdate><title>Ultrasound and cholangiography for the diagnosis of biliary complications after orthotopic liver transplantation: A comparative study</title><author>Kok, T. ; Van der Sluis, A. ; Klein, J. P. ; Van der Jagt, E. J. ; Peeters, P. M. J. G. ; Slooff, M. J. H. ; Bijleveld, C. M. A. ; Haagsma, E. B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3421-10daca3defb41c17580a15277a04cd2453989aff8491a7a24299f788fb0499f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Bile Ducts, Extrahepatic - pathology</topic><topic>Bile Ducts, Intrahepatic - pathology</topic><topic>biliary complications</topic><topic>Biliary Fistula - diagnosis</topic><topic>Biliary Fistula - surgery</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cholangiography</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Cholestasis, Extrahepatic - diagnosis</topic><topic>Cholestasis, Extrahepatic - surgery</topic><topic>Cholestasis, Intrahepatic - diagnosis</topic><topic>Cholestasis, Intrahepatic - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant</topic><topic>Liver Diseases - diagnosis</topic><topic>Liver Diseases - surgery</topic><topic>Liver Transplantation</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>orthotopic liver transplantation</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - surgery</topic><topic>Reoperation</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kok, T.</creatorcontrib><creatorcontrib>Van der Sluis, A.</creatorcontrib><creatorcontrib>Klein, J. P.</creatorcontrib><creatorcontrib>Van der Jagt, E. J.</creatorcontrib><creatorcontrib>Peeters, P. M. J. G.</creatorcontrib><creatorcontrib>Slooff, M. J. H.</creatorcontrib><creatorcontrib>Bijleveld, C. M. A.</creatorcontrib><creatorcontrib>Haagsma, E. 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Clin. Ultrasound</addtitle><date>1996-03</date><risdate>1996</risdate><volume>24</volume><issue>3</issue><spage>103</spage><epage>115</epage><pages>103-115</pages><issn>0091-2751</issn><eissn>1097-0096</eissn><coden>JCULDD</coden><abstract>The ability of ultrasound to detect biliary obstruction, bile leakage and generalized ductal changes after orthotopic liver transplantation (OLT) was compared to cholangiography. Cholangiography was considered to be the gold standard. Adequate opacification of the biliary tree was achieved in 139 cholangiograms. Biliary obstruction, intermediate or large bile leakage, and generalized ductal changes were diagnosed with cholangiography in 15% (21/139), 14% (20/139), and 16% (22/139), respectively. Normal ultrasound findings could not exclude biliary stricture, generalized ductal changes, or bile leakage, and fluid collections were not correlated with bile leakage. Abnormal ultrasound findings were highly predictive of the cholangiographic diagnosis of biliary obstruction or generalized ductal changes (specificity of 98% and 100%, respectively). An irregular appearance of the bile ducts and increased periductal echogenicity proved to be characteristic features for generalized ductal changes. © 1996 John Wiley & Sons, Inc.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>8838298</pmid><doi>10.1002/(SICI)1097-0096(199603)24:3<103::AID-JCU1>3.0.CO;2-L</doi><tpages>13</tpages></addata></record> |
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| ispartof | Journal of clinical ultrasound, 1996-03, Vol.24 (3), p.103-115 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Adult Bile Ducts, Extrahepatic - pathology Bile Ducts, Intrahepatic - pathology biliary complications Biliary Fistula - diagnosis Biliary Fistula - surgery Biological and medical sciences Child Child, Preschool Cholangiography Cholangiopancreatography, Endoscopic Retrograde Cholestasis, Extrahepatic - diagnosis Cholestasis, Extrahepatic - surgery Cholestasis, Intrahepatic - diagnosis Cholestasis, Intrahepatic - surgery Female Follow-Up Studies Humans Infant Liver Diseases - diagnosis Liver Diseases - surgery Liver Transplantation Liver, biliary tract, pancreas, portal circulation, spleen Male Medical sciences Middle Aged orthotopic liver transplantation Postoperative Complications - diagnosis Postoperative Complications - surgery Reoperation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system |
| title | Ultrasound and cholangiography for the diagnosis of biliary complications after orthotopic liver transplantation: A comparative study |
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