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How to Study the Gallbladder

Health and Policy Committee*
[+] Article, Author, and Disclosure Information

Requests for Reprints: Linda Johnson White, Director; Department of Scientific Policy, American College of Physicians, 4200 Pine Street; Philadelphia, PA 19104.

*This paper was authored by Keith I. Marton, MD; and Peter Doubilet, MD, PhD; and was developed for the Health and Public Policy Committee by the Clinical Efficacy Assessment Subcommittee: Paul F. Griner, MD, Chairman; Charles C. Smith, Jr., MD; Paul Calabresi, MD; Lockhart B. McGuire, MD; Earl P. Steinberg, MD; Harold J. Sox, Jr., MD. Members of the Health and Public Policy Committee were: Richard G. Farmer, MD, Chairman; Michael A. Nevins, MD; Charles E. Lewis, MD; Joseph E. Johnson III, MD; Paul F. Griner, MD; John M. Eisenberg, MD; F. Daniel Duffy, MD; Donald L. Feinstein, MD; C.S. Lewis, Jr., MD; Steven A. Schroeder, MD; Quentin D. Young, MD. This paper was approved by the Board of Regents on 15 January, 1988.

©1988 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1988;109(9):752-754. doi:10.7326/0003-4819-109-9-752
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This excerpt has been provided in the absence of an abstract.

Between the introduction of the oral cholecystogram in 1924 and the early 1970s, soon after ultrasonography was introduced [1.2], evaluation of the gallbladder remained relatively static. Over the last 15 years, however, the revolution in diagnostic imaging has led to remarkable changes in approaches to suspected gallbladder disease. An entire generation of diagnostic procedures has been replaced, for the most part, by new technologies. This discussion focuses on the evaluation of suspected cholecystitis; evaluation of common bile duct abnormalities involves a somewhat different approach and is not a part of this review.

At the present time, the two major tests




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