Hepatobiliary Curriculum

US didactics/scan shift:

Week 1 – Gallbladder US and RUQ Anatomy-

Week 2 – Gallbladder, CBD, GBW measurements and when they can trick you-

Week 3 – Gallbladder Pathology and other findings you may see in the RUQ –

Week 4 – Case-based presentations by Faculty, and Fellows present and review hepatobiliary studies –

Reading/Review List:

SonoGuide: HepatoBiliary

SonoSpot: TutorialCasesStudiesTips &Tricks

Podcast: Soundbytes: Hepatobiliary, Ultrasound Podcast: Gallbladder US

AIUM Practice Guidelines: Abdominal and Retroperitoneum

AIUM Presentation: Emergenct RUQ Sonography


Ma/Mateer/Blaivas Chapters:

8. Hepatobiliary, Daniel Theodoro


Dawson/Mallin iBook Chapters:

Volume 2, Gallbaldder/hepatobiliary

Hepatobiliary Studies: PubMed Collection

Gallbladder Studies:

Diehl AK. Epidemiology and natural history of gallstone disease. Gastroenterol Clin North Am.1991;20(1):1-19.

Festi D, Sottili S, Colecchia A, Attili A, Mazzella G, Roda E, Romano F.   Clinical manifestations of gallstone disease: evidence from the multicenter Italian study on cholelithiasis (MICOL). Hepatology.1999;30(4):839-46.

Thijs C, Knipschild P. Abdominal symptoms and food intolerance related to gallstones. J Clin Gastroenterol.1998;27(3):223-31.

Singer AJ,  McCracken G, Henry MC, Thode HC Jr, Cabahug CJ. Correlation among clinical, laboratory, and hepatobiliary scanning findings in patients with suspected acute cholecystitis. Ann Emerg Med.1996;28(3):267-72.

Bree RL, Ralls PW, Balfe DM, DiSantis DJ, Glick SN, Levine MS, Megibow AJ, Saini S, Shuman WP, Greene FL, Laine LA, Lillemoe K. Evaluation of patients with acute right upper quadrant pain. American College of Radiology. ACR Appropriateness Criteria. Radiology.2000;215(Suppl):153-7.

Shea JA, Berlin JA, Escarce JJ, Clarke JR, Kinosian BP, Cabana MD, Tsai WW, Horangic N, Malet PF, Schwartz JS, et al. Revised estimates of diagnostic test sensitivity and specificity in suspected biliary tract disease. Arch Intern Med.1994;154(22):2573-81.

Ralls PW, Colletti PM, Lapin SA, Chandrasoma P, Boswell WD Jr, Ngo C, Radin DR, Halls JM.  Real-time sonography in suspected acute cholecystitis. Prospective evaluation of primary and secondary signs. Radiology.1985;155(3):767-71.

Bree RL. Further observations on the usefulness of the sonographic Murphy sign in the evaluation of suspected acute cholecystitis. J Clin Ultrasound.1995;23(3):169-72.

Kendall JL, Shimp RJ. Performance and interpretation of focused right upper quadrant ultrasound by emergency physicians. J Emerg Med.2001;21(1):7-13.

Fagan SP, Awad SS, Rahwan K, Hira K, Aoki N, Itani KM, Berger DH. Prognostic factors for the development of gangrenous cholecystitis. Am J Surg.2003;186(5):481-5.

Ryu JK, Ryu KH, Kim KH. Clinical features of acute acalculous cholecystitis. J Clin Gastroenterol.2003;36(2):166-9.

Summers SM, Scruggs W, Menchine MD, Lahham S, Anderson C, Amr O, Lotfipour S, Cusick SS,Fox JC A prospective evaluation of emergency department bedside ultrasonography for the detection of acute cholecystitis. Ann Emerg Med. 2010 Aug;56(2):114-22. doi: 10.1016/j.annemergmed.2010.01.014

Scruggs W, Fox JC, Potts B, Zlidenny A, McDonough J, Anderson CL, Larson J, Barajas G, Langdorf MI. Accuracy of ED Bedside Ultrasound for Identification of gallstones: retrospective analysis of 575 studies. West J Emerg Med. 2008 Jan;9(1):1-5. Erratum in: West J Emerg Med. 2008 May;9(2):129.

Jafari D, Cheng AB, Dean AJ. Dynamic Changes of Common Bile Duct Diameter During an Episode of Biliary Colic, Documented by Ultrasonography. Ann Emerg Med. 2013 Mar 12. doi:pii: S0196-0644(13)00005-X. 10.1016/j.annemergmed.2013.01.004.

Spence SC, Teichgraeber D, Chandrasekhar C. Emergent right upper quadrant sonography. J Ultrasound Med. 2009 Apr;28(4):479-96. Review.

Emergency Biliary Sonography: Utility of Common Bile Duct Measurement in the Diagnosis of Cholecystitis and Choledocholithiasis. J Emerg Med. 2013 Oct 11. pii: S0736-4679(13)00340-5. doi: 10.1016/j.jemermed.2013.03.024. [Epub ahead of print]

Blaivas M, Harwood RA, Lambert MJ. Decreasing length of stay with emergency ultrasound examination of the gallbladder. Acad Emerg Med 1999 Oct;6(10):1020-1023.

Miller AH, Pepe PE, Brockman CR, Delaney KA. ED Ultrasound in Hepatobiliary disease. J Emerg Med. 2006 Jan;30(1):69-74.

Peters, J. Can Bedside Emergency Ultrasonography Enhance Clinical Decisionmaking in Emergency Department Patients Presenting With Symptoms of Biliary Colic? Ann Emerg med. Nov 2013.


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