American journal of surgery · 2026
Comparison of hepatobiliary iminodiacetic acid scan results, preoperative symptoms, and final pathology results for patients who underwent cholecystectomy.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
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Binns Valerie, Reyes Jared, Halloum Mohamad, Antar Siman, Vincent Kyle
Аннотация
INTRODUCTION: The purpose of this study was to compare preoperative HIDA scans, ultrasound, and patients' symptoms with final surgical pathology on patients who underwent cholecystectomy.
METHODS: A retrospective chart review was conducted on patients who underwent cholecystectomy between 1/1/2020 and 12/31/2022 at our local hospital. Data were collected on patient demographics, preoperative symptoms, gallbladder ultrasound results, HIDA scan results, and pathology results.
RESULTS: A total of 116 patients met the study inclusion criteria. HIDA scan findings had a sensitivity of 80.4%, a specificity of 33.3%, and an AUC of 0.594, P = .482. For those with normal findings on HIDA scan, 83.3% had a pathological finding of chronic cholecystitis, 44.4% had cholesterolosis, and 26.3% had cholelithiasis.
CONCLUSIONS: Our findings suggest that the benefit of the HIDA scan appears to be in the presence of positive symptomology and negative ultrasound findings as HIDA scans are a relatively weak discriminator of positive pathology.
METHODS: A retrospective chart review was conducted on patients who underwent cholecystectomy between 1/1/2020 and 12/31/2022 at our local hospital. Data were collected on patient demographics, preoperative symptoms, gallbladder ultrasound results, HIDA scan results, and pathology results.
RESULTS: A total of 116 patients met the study inclusion criteria. HIDA scan findings had a sensitivity of 80.4%, a specificity of 33.3%, and an AUC of 0.594, P = .482. For those with normal findings on HIDA scan, 83.3% had a pathological finding of chronic cholecystitis, 44.4% had cholesterolosis, and 26.3% had cholelithiasis.
CONCLUSIONS: Our findings suggest that the benefit of the HIDA scan appears to be in the presence of positive symptomology and negative ultrasound findings as HIDA scans are a relatively weak discriminator of positive pathology.