A member asked:

Would a ct with contrast diagnose a gallbladder or pancrease (pancrelipase) issue? or are ultrasounds possibly an endoscopy better at finding problems?

A doctor has provided 1 answer
Dr. John To answered

US for GB, CT panc: CT is much better for pancreas evaluation because overlying bowel gas limits US visualization in most patients. Because 90% of gallstones are made of cholesterol, they don't show up on CT. Ultrasound is moderately better at detecting acute cholecystitis. CT is much better for pancreatitis or pancreatis. Routine fiber optic endoscopy has no role. Endoscopic US is not a screening exam.

Answered 3/12/2020

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