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Gray-scale ultrasonography (GSU) and thin-needle cholangiography (TNC) were performed in 35 consecutive patients with unexplained jaundice. The status of the biliary tree was correctly assessed by GSU in 33 of 35 cases (94%); in two patients technical difficulty prevented definitive assessment. Neither false-positive nor false-negative results were encountered. There were no discrepancies between the results of GSU and TNC. We conclude that GSU provides a safe, highly reliable method of assessing the jaundiced patient and should be the preferred initial procedure in the diagnostic evaluation of patients with jaundice when the major differential lies between the medical and surgical types. If GSU does not demonstrate a dilated biliary system, TNC is unnecessary, and other diagnostic studies should be undertaken.
L I Goldstein, and
W F Sample, and
B M Kadell, and
M Weiner
April 1979,
Arizona medicine,
L I Goldstein, and
W F Sample, and
B M Kadell, and
M Weiner
May 1978,
Southern medical journal,
L I Goldstein, and
W F Sample, and
B M Kadell, and
M Weiner
March 1981,
Journal of the Canadian Association of Radiologists,
L I Goldstein, and
W F Sample, and
B M Kadell, and
M Weiner
October 1976,
Gut,
L I Goldstein, and
W F Sample, and
B M Kadell, and
M Weiner
January 1981,
Revista interamericana de radiologia,
L I Goldstein, and
W F Sample, and
B M Kadell, and
M Weiner
November 1977,
Annals of internal medicine,
L I Goldstein, and
W F Sample, and
B M Kadell, and
M Weiner
January 1978,
Annales de radiologie,
L I Goldstein, and
W F Sample, and
B M Kadell, and
M Weiner
August 1964,
The American surgeon,
L I Goldstein, and
W F Sample, and
B M Kadell, and
M Weiner
May 1985,
The West Virginia medical journal,
L I Goldstein, and
W F Sample, and
B M Kadell, and
M Weiner
October 1979,
Southern medical journal,
