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Endoscopy 1980; 12(4): 166-174
DOI: 10.1055/s-2007-1021736
© Georg Thieme Verlag KG Stuttgart · New York

Comparative Studies of Laparoscopy, Histology and Gray-Scale Echotomography in Diffuse Diseases of the Liver

H.-M. Vogel, K. Scherer, D. Look
  • Radiologische Klinik des Universitätskrankenhauses Hamburg-Eppendorf (Direktor: Prof. Dr. E. Bücheler) and Klinik Föhrenkamp der BfA, Mölln/Lauenburg (Direktor: Prov. Doz. Dr. med. H. Henning)
Results were presented in part at the 3rd European Congress on Ultrasonics in Medicine, Bologna, October 1-5, 1978. Supported by Research Funds of the Federal Institute for Salaried Employees' Insurance.
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Publication Date:
17 March 2008 (online)

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Summary

In a prospective study 54 patients with normal liver, chronic alcoholic and non-alcoholic hepatitis and cirrhosis - all diagnoses established by laparoscopy and histology - were examined by gray-scale scanning. The following criteria proved helpful in differentiating between normal and pathologic states: variations in liver size and form, attenuation and echo pattern (form, density and distribution of echoes). The ultrasonic diagnosis is relatively simple in alcoholic fatty liver and cirrhosis, and becomes more difficult or even uncertain in mild chronic hepatitis without fibrosis. Confirmation of suspected liver disease by direct morphological methods such as laparoscopy and histology is therefore necessary.

Key words:

Laparoscopy - Gray-Scale echotomography - Diffuse liver diseases