HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Diagnostic accuracy of ultrasonography and C reactive protein concentration in acute cholecystitis: a prospective clinical study.

AbstractOBJECTIVE:
To assess the value of ultrasonography together with C reactive protein concentration in predicting which patients with acute cholecystitis require immediate operation.
DESIGN:
Prospective study.
SETTING:
Oulu University Hospital, Finland.
SUBJECTS:
129 consecutive patients admitted with suspected acute cholecystitis 1988-89.
MAIN OUTCOME MEASURES:
Correlation of ultrasonographic findings and C reactive protein concentrations with histological findings.
RESULTS:
Ultrasonography correctly classified 86 of 108 patients with acute cholecystitis (79%). When the findings were combined with those of increased concentrations of C reactive protein the accuracy rose to 105 of 108 (97%). Large increases in C reactive protein concentrations were associated with both infected bile and gangrene of the gall bladder.
CONCLUSIONS:
The combination of ultrasonography and measurement of C reactive protein concentration is recommended in the routine investigation of all patients with suspected acute cholecystitis. Serum C reactive protein concentrations should be monitored regularly to select those patients who require emergency operation.
AuthorsT Juvonen, H Kiviniemi, O Niemelä, M I Kairaluoma
JournalThe European journal of surgery = Acta chirurgica (Eur J Surg) 1992 Jun-Jul Vol. 158 Issue 6-7 Pg. 365-9 ISSN: 1102-4151 [Print] England
PMID1356470 (Publication Type: Journal Article)
Chemical References
  • C-Reactive Protein
Topics
  • Acute Disease
  • Adult
  • Aged
  • Aged, 80 and over
  • C-Reactive Protein (analysis)
  • Cholecystitis (blood, diagnosis, diagnostic imaging)
  • Evaluation Studies as Topic
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Time Factors
  • Ultrasonography

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: