Gambaran Radiologi pada Gangguan Kandung Empedu

Ali Raflyno

doi:10.29103/jkkmm.v3i6.18615

Gambaran Radiologi pada Gangguan Kandung Empedu

Ali Raflyno

Abstract

Kandung empedu merupakan kantong kecil berwarna hijau yang terletak diposterior hati, kandung empedu berfungsi sebagai reservoir tempat penyimpanan untuk empedu sampai diperlukan untuk pencernaan. Kandung empedu juga memekatkan empedu dengan mengabsorpsi air. Pemeriksaan radiologi untuk mendeteksi kelainan kandung empedu terdiri dari pemeriksaan Ultrasonography (USG), Foto Polos Abdomen (FPA), Endoscopic Retrograde Cholangio Pancreatography (ERCP) dan Magnetic Resonance Cholangiopancreatography (MRCP). USG adalah jenis pemeriksaan tersering yang digunakan untuk mengidentifikasi batu empedu. USG endoskopik memiliki sensitivitas lebih besar namun lebih invasif dan lebih jarang tersedia. USG mempunyai spesifitas dan sensitivitas yang tinggi untuk deteksi batu kandung empedu dan pelebaran saluran empedu intrahepatik maupun ekstrahepatik, namun sensitifitas untuk batu koledokus hanya 50%. ERCP memberikan pencitraan pasti dari cabang bilier dan juga kesempatan untuk menghilangkan obstruksi bilier dengan melakukan sfingterektomi endoskopik dan pengangkatan batu CBD.

Keywords

Kandung Empedu, USG, FPA, ERCP

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References

Lampignano J, Kendrick L. Bontrager’s Radiographic Positioningand Related Anatomy. Elsevier; 2017.

KA, T. Choledocholithiasis. Universitas Andalas; 2018.

Oktaviandita H, Riksawati H, Oxza IA. Gambaran Radiologi Choledocholethiasis. Universitas Malahayati; 2020.

Sueta MA., Warningsih W. Faktor Risiko Terjadinya Batu Empedu di RSUP Dr. Wahidin Sudirohusodo Makassar. J Bedah Indones. 2017;1(20).

Lammert F, Acalovschi M, Ercolani G, van Erpecum KJ, Gurusamy KS, van Laarhoven CJ, et al. EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. J Hepatol. 2016;65(1):146–81.

Wilkins, Agabin, Varghese, Talukder. Dysfunction: Cholecystitis, Choledocholithiasis, Cholangitis, and Biliary Dyskinesia. PrimCare. 2017;44:575–97.

Amelia D. Gambaran Pasien Koledokolitiasis di Bagian Bedah Digestif RSUP Dr. Hasan Sadikin Bandung Periode Januari 2014-Desember 2016. Universitas Padjajaran; 2017.

Virzì V, Ognibene NMG, Sciortino AS, Culmone G, Virzì G. Routine MRCP in the management of patients with gallbladder stones awaiting cholecystectomy: a single-centre experience. Insights Imaging. 2018;9(5):653–9.

Sudoyo A, Setiyohadi B, Alwi I, Setiati S. Kolesistitis. In: Buku Ajar Ilmu Penyakit Dalam. 4th ed. Jakarta: Fakultas Kedokteran Universitas Indonesia; 2006. p. 477–8.

Peter A. Acute Cholecystitis and Biliary Colic. Medscape. 2022;

Yokoe M, Hata J, Takada T, Strasberg SM, Asbun HJ, Wakabayashi G, et al. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2018;25(1):41–54.

Christeven R, Frandy F, Andersen A. Acute Cholangitis: An Update in Management Based on Severity Assessment. Indones J Gastroenterol Hepatol Dig Endosc. 2020;19(3):170–7.

Kim SW, Shin HC, Kim HC, Hong MJ, Kim IY. Diagnostic performance of multidetector CT for acute cholangitis: Evaluation of a CT scoring method. Br J Radiol. 2012;85(1014):770–7.

Yokoe M, Takada T, Strasberg SM, Solomkin JS, Mayumi T, Gomi H, et al. TG13 diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2018;20(1):35–46.

Miura F, Okamoto K, Takada T, Strasberg SM, Asbun HJ, Pitt HA, et al. Tokyo Guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis. J Hepatobiliary Pancreat Sci. 2018;25(1):31–40.

Figueiredo N de, Peltzer M, Zengel, Armbruster, Rubenthaler. Contrast-enhanced Ultrasound (CEUS) and Gallbladder Diseases - A Retrospective Mono-center Analysis of Imaging Findings with Histopathological Correlation. Clin Hemorheol Microcirc. 2019;71(2):151–8.

Nurman A. Imaging of the biliary tract. Indones J Gastroenterol Hepatol Dig Endosc. 2023;39(2):59–66.

Lohman E de S, Bitter T de, Laarhoven V. The diagnostic accuracy of CT and MRI for the detection of lymph node metastases in gallbladder cancer: A systematic review and meta-analysis. Eur J Radiol. 2019;110:156–62.

Oktiari Y. Akurasi Magnetic Resonance Cholangiopancreatography (MRCP) untuk Deteksi Koledokolitiasis. Universitas Gadjah Mada; 2021.

Radiological Society of North America. MRCP (MR Cholangiopancreatography). RadiologyInfo.org. 2023. p. 1–6.

Halasz A, Pecsi D, Farkas N, Izbeki F, Gajdan L. Outcomes and timing of endoscopic retrograde cholangiopancreatography for acute biliary pancreatitis. Dig Liver Dis. 2019;51(9):1281–6.

Kim JY, Lee HS, Chung MJ, Park JY, Park SW, Song SY, et al. Bleeding complications and clinical safety of endoscopic retrograde cholangiopancreatography in patients with liver cirrhosis. Yonsei Med J. 2019;60(5):440–5.

Buxbaum JL, Abbas Fehmi SM, Sultan S, Fishman DS, Qumseya BJ, Cortessis VK, et al. ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis. Gastrointest Endosc. 2019;89(6):1075-1105.e15.

Dillehay G, Bar-Sever Z, Brown M, Brown R, Green E, Lee M, et al. Appropriate use criteria for hepatobiliary scintigraphy in abdominal pain: Summary and excerpts. J Nucl Med. 2017;58(6):9N-11N.

Ziessman HA. Hepatobiliary scintigraphy in 2014. J Nucl Med Technol. 2014;42(4):249–59.

Ziessman HA. Interventions Used With Cholescintigraphy for the Diagnosis of Hepatobiliary Disease. Semin Nucl Med. 2009;39(3):174–85.

DOI: https://doi.org/10.29103/jkkmm.v3i6.18615