Vnitr Lek 1989, 35(2):164-167

[Cholecystolithiasis and ultrasonography. Is "technologism" possible in medicine?].

J Bielik

The term "technologism" is used for a phenomenon where inadequate evaluation of the patient's condition may lead to an excessive number of auxiliary examinations, with a possible incorrect interpretation of their results and a possible inadequate final solution. On analysis of ultrasonographic examinations of the gallbladder the author considered as inadequate evaluation of biliary dyspepsia on account of the high incidence of cholecystolithiasis - 55.6% in men and 48.7% in women, biliary colic in men because of the low incidence of cholecystolithiasis - 32.0% and abdominal colic in women on account of the high incidence of cholecystolithiasis - 52.4%. In the final surgical treatment this phenomenon was not observed. The author wants to draw attention to the fact that a similar phenomenon may occur not only in biliary-disease and in ultrasonography, but also in other medical disciplines.