Gerbail T. Krishnamurthy, MD
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To the Editor: In its recent position paper ( 1 ) on diagnosing gallbladder disease, the Health and Policy Committee of the American College of Physicians recommended use of ultrasonographic examination of the gallbladder as the preferred initial test for both acute and chronic cholecystitis and use of HIDA cholescintigraphy only if the diagnosis is uncertain after ultrasonography. This recommendation is in conflict with the data reported by Marton and Doubilet (2), who found that cholescintigraphy has a sensitivity of 95% to 97% and a specificity of 90% to 97% for acute cholecystitis. When the major criteria for a gallbladder
Krishnamurthy GT. Diagnosing Gallbladder Disease. Ann Intern Med. ;110:493–494. doi: 10.7326/0003-4819-110-6-493
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Published: Ann Intern Med. 1989;110(6):493-494.
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