Ultrasound of the acute abdomen performed by surgeons in training.

Ultrasound of the acute abdomen performed by surgeons in training. Research Abstract Details 

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Ultrasound of the acute abdomen performed by surgeons in training. Abstract Text:

J P Eiberg,T P Grantcharov,J R Eriksen,T Boel,C Buhl,D Jensen,J F Pedersen,S Schulze,

AIM: Ultrasound has a well-established role in the diagnostic assessment of acute abdominal pain where some ultrasonically easily-accessible organs account for several diagnostic possibilities. The objective of the present study was to evaluate whether surgeons without ultrasound experience could perform valid abdominal ultrasound examinations of patients referred with acute abdominal pain. METHODS: Patients referred with acute abdominal pain had an ultrasound examination by a surgeon in training as well as by an experienced consultant radiologist whose results served as the gold standard. All participating surgeons were without any pre-existing ultrasound experience and received one hour of introduction to abdominal ultrasound. RESULTS: Thirty patients underwent 40 surgeon performed and 30 radiologist performed ultrasound examinations. Regarding gallstone and cholecholecystitis the sensitivity, specificity and kappa-agreement of the surgeon performed ultrasound examination was 1.00 (0.77-1.00), 0.96 (0.79-0.99), 0.94 (0.3-1.00) and 0.40 (0.12-0.77), 0.97 (0.83-0.99), 0.44 (0.00-0.96); respectively. Visualization of the common bile duct was poor having 73% non-diagnostic surgeon-performed ultrasound examinations. CONCLUSION: Surgeons in training without pre-existing ultrasound experience and only a minimum of formal ultrasound education can perform valid and reliable ultrasound examinations of the gallbladder in patients admitted with acute abdominal pain.

Ultrasound of the acute abdomen performed by surgeons in training. Publishing Authors By Initials

JP Eiberg,TP Grantcharov,JR Eriksen,T Boel,C Buhl,D Jensen,JF Pedersen,S Schulze,

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Ultrasound of the acute abdomen performed by surgeons in training. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Minerva chirurgica

VOLUME: 63

Page Numbers: 17-22

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ISSN: 0026-4733

DAY: 23

MONTH: Feb

YEAR: 2008

Ultrasound of the acute abdomen performed by surgeons in training. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Ultrasound of the acute abdomen performed by surgeons in training.

AFFILIATION: Department of Vascular Surgery, University Hospital of Copenhagen Rigshospitalet, Copenhagen, Denmark jonas@eiberg.org.

Country: Italy

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MEDLINETA: Minerva Chir

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