OGD before laparoscopic cholecystectomy - Forum

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Grandpa Phil

OGD before laparoscopic cholecystectomy - Ärzteforum

Post#1 »

you were interested how many people do a routine G scope before
cholecystectomy. In the department I worked ( a
university clinic) an OGD was done (in our own department) routinely (!)
in every patient scheduled for laparoscopic cholecystectomy. In the
department I am working now in, we also did routine OGD's for about 2
years but abandoned this after seeing no clear benefit. I
now ask for an OGD only in those patient with a history of peptic ulcers
or no clearly established diagnosis of cholecystolithiasis or
cholecystitis. In patients scheduled for laparoscopic cholecystectomy
and uncharacteristic symtpoms we had more patients with an unsuspected
cancer of the ascending or transverse colon than patients with an
unknown duodenal ulcer. I therefore readily ask for a CT scan (which we
also obtain easily) if I have any doubts about my diagnosis!

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