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Abstract
Preoperative upper gastrointestinal x-ray series (UGIS) in patients with documented
biliary tract disease commonly is carried out before cholecystectomy. Of 250 patients
who had consecutive cholecystectomies performed in a 400-bed private hospital, 105
patients did not have UGIS prior to operation and no gastroduodenal disease was discovered
at operation. Thirty-nine positive x-ray examinations were obtained among the 145
patients who had preoperative UGIS. In only three of these patients was a gastric
procedure added at operation; no unexpected cancers were found. In the other 36, “positive”
findings consisted of small hiatal hernias, diverticula of the esophagus, stomach,
or duodenum not clinically significant or postgastrectomy anatomic abnormalities.
This review suggests that routine preoperative UGIS may not be warranted in such patients
and urges greater selectivity of patients having this procedure.
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References
Knutson, C. O., Max, M., Ahmad, W., et al.: Should flexible fiberoptic endoscopy replace barium contrast study of the upper gastrointestinal tract? Submitted for publication
- Acute cholecystitis.Harper & Row, Publishers, New York1972
Article info
Footnotes
☆Presented at the Thirty-fourth Annual Meeting of the Central Surgical Association, Buffalo, N. Y., March 3–5 1977.
Identification
Copyright
© 1977 Published by Elsevier Inc.
