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Tests and diagnosis

By Mayo Clinic staff

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Illustration of ERCP procedure 
ERCP procedure

Tests and procedures used to diagnose gallstones include:

  • Tests to create pictures of your gallbladder. Your doctor may recommend an abdominal ultrasound or a computerized tomography (CT) scan to create pictures of your gallbladder. These images can be analyzed to look for signs of gallstones.
  • Tests to check your bile ducts for gallstones. A test that uses a special dye to highlight your bile ducts on images may help your doctor determine whether a gallstone is causing a blockage. Tests may include a hepatobiliary iminodiacetic acid (HIDA) scan, magnetic resonance imaging (MRI) or endoscopic retrograde cholangiopancreatography (ERCP). Gallstones discovered using ERCP can be removed during the procedure.
  • Blood tests to look for complications. Blood tests may reveal an infection, jaundice, pancreatitis or other complications caused by gallstones.
References
  1. Gallstones. National Institute of Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddiseases/pubs/gallstones/index.htm. Accessed May 28, 2009.
  2. Understanding gallstones. American Gastroenterological Association. http://www.gastro.org/wmspage.cfm?parm1=5680. Accessed May 28, 2009.
  3. Choi Y, et al. Biliary tract disorders, gallbladder disorders and gallstone pancreatitis. American College of Gastroenterology. http://www.acg.gi.org/patients/gihealth/biliary.asp?mode=print&. Accessed May 28, 2009.
  4. Browning JD, et al. Gallstone diseases. In: Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2006. http://www.mdconsult.com/das/book/body/140200591-2/0/1389/0.html. Accessed May 28, 2009.
  5. What are the risk factors for gallbladder cancer? American Cancer Society. Accessed June 8, 2009.
  6. Rakel D. Cholelithiasis. In: Rakel D. Integrative Medicine. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/142209696-2/0/1494/0.html. Accessed June 8, 2009.
  7. Venneman NG, et al. Gallstone disease: Primary and secondary prevention. Best Practice & Research Clinical Gastroenterology. 2006;20:1063.

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July 25, 2009

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