Gallstone is the most common hepatobiliary disease and usually associated with other hepatobiliary disease. Recently ultrasonography and ERCP are used to diagnosis gallstone and it is known that their diagnostic sensitivities are different by the
location of gallstone. We reviewed 484 cases of gallstones confirmed by surgery in adults who had performed ultrasonography and ERCP at hospital.
@ES The results obtained are as follows:
@En 1. Male to female ratio was 1 : 1.36 and peak age incidence were 5th and 6th decades (57.6%)
2. In classification according to the location of gallstone, there were gallbladder stones 249 cases, bile duct stones 135 cases, and coexisting stones 100 cases, and ERCP and ultrasonography were performed for all patients.
3. The frequency of symptoms and signs were in order of abdominal pain, fever and chill, and indigestion, and indigestion, and showed increased tendency in bile duct stone or coexusting cases of GB stone and bile duct stone in compared with GB
stone
only(p<0.05).
4. In serum biochemistry according to the location of stone, total bililubin was increased in coexisting cases(75%) and bile duct stone(69.6%) with statistical significance in compared with GB stone(33.3%).
5. In GB stone, the diagnostic sensitivity showed in ultrasonography 84.5%, ERCP 57.3%, both of ultrasonography and ERCP 79.2%,and in CBSD stone, ultrasonography 42.7%, ERCP 93.3%, both of ultrasonography and ERCP 95%, and in IHD stone,
ultrasonography
49.7%, ERCP 66.7%, both of ultrasonography and ERCP 95%, and in IHD stone, ultrasonography 49.7%, ERCP 66.7%, both of ultrasonography and ERCP 64.4%.
6. GB stones which could not be found in some cases; in GB stone(32 cases), nonvisualization of GB due to cystic duct obstruction 20 cases(62.5%), insufficient injection of contrast dye 10 cases(31.3%); in CBD stone(0 cases), insufficient
injection of
contrast dye 4 cases, transformation of IHD stone(18 cases), insufficient injection of contrast dye 7 cases, nonvisualization of IHD CBD obstruction 7 cases.
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