How to diagnose cholelithiasis
Gallstone disease or cholelithiasis - a disease associated with the formation of gallstones (cholecystolithiasis) or ducts (choledocholithiasis). The disease can be caused by different reasons, but the three main - a violation of lipid metabolism, infection and bile stasis. Timely diagnosis of cholelithiasis avoids surgery and dispensed conservative methods of treatment.
You will need:
- the direction of the survey.
Instruction how to diagnose cholelithiasis
To make a diagnosis of cholelithiasis, consult a doctor gastroenterologist-hepatologist. You will be discharged in the direction of the ultrasound examination of the abdominal cavity. US - it is inexpensive, safe and effective inspection method to detect the presence of stones, the number and volume of lesions of the gallbladder and ducts. Diagnostics also allows you to determine the diameter hepaticocholedochus. In some cases, ultrasound administered after breakfast, to assess the function of the gall bladder and the extent of the outflow of bile.
If the doctor needs to know more information about the functional state of the gallbladder and bile ducts, you appoint preroralnuyu cholecystography. This survey is based on the reception of iodine-containing drugs and X-rays, which makes it possible to diagnose radiolucency stones and calcification. This survey is carried out efficiently in the event that the treatment will be conducted by litholytic or extracorporeal therapy.
Also, as the survey you can assign an intravenous cholegraphy. This method is based on the introduction of a contrast solution vein. Most often appointed to clarify the degree of functioning of the bile duct, length diagnosing the presence of stones and the degree of narrowing or widening of ducts. This is a more gentle method of examination compared with endoscopic cholangiopancreatography (ERCP), during which can develop serious complications that require emergency surgery.
Gepatobiliostsintigrafiyu you can assign parameters to refine the movement of bile through ducts into the intestine. This radioisotope method in which you will enter radiopharmaceutical and will record its movement using a gamma camera.
All of these methods study except US, administered in case there is a question about the possibility of medical treatment for the removal of stones. If it is decided to carry out surgical removal, the US would be sufficient. Conservative treatment is carried out in the presence of stones are rare because of the possible complications and the re-emergence of excrement. Therefore, most often performed surgery to remove the gallbladder.