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Ultrasound evaluation of cholelithiasis in the morbidly obese

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Abstract

The ability to detect gallstones in the morbidly obese population has been questioned in recent literature. Utilizing state-of-the-art, real-time ultrasound equipment, 44 morbidly obese patients were examined prior to gastric exclusion surgery and concomitant cholecystectomy. The 91% sensitivity and 100% specificity of gallstone detection in this series matches the results for the general population. This study provided the unique opportunity to evaluate a large number (34) of negative ultrasound examinations, with subsequent surgical confirmation yielding a negative predictive value of 97%. This confirms the continued role of ultrasound in the evaluation of cholelithiasis.

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Authors and Affiliations

  1. Department of Diagnostic Radiology, Rhode Island Hospital, Brown University Program in Medicine, Providence, Rhode Island, USA

    Mark S. Silidker, John J. Cronan M.D., Francis H. Scola, Marleen M. Moore, Barbara Schepps & Gary S. Dorfman

  2. Department of Surgery, Rhode Island Hospital, Brown University Program in Medicine, Providence, Rhode Island, USA

    William Thompson

Authors
  1. Mark S. Silidker
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  2. John J. Cronan M.D.
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  3. Francis H. Scola
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  4. Marleen M. Moore
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  5. Barbara Schepps
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  6. William Thompson
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  7. Gary S. Dorfman
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Silidker, M.S., Cronan, J.J., Scola, F.H. et al. Ultrasound evaluation of cholelithiasis in the morbidly obese. Gastrointest Radiol 13, 345–346 (1988). https://doi.org/10.1007/BF01889095

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  • DOI: https://doi.org/10.1007/BF01889095

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