Diagnosis of choledocholithiasis: EUS or magnetic resonance cholangiography? A prospective controlled study

Lédinghen, Victor de; Lecesne, R.; Raymond, Jean-Michel; Gense, V.; Amouretti, M; Drouillard, J; Couzigou, Patrice; Silvain, Christine

doi:10.1016/s0016-5107(99)70441-4

Cited by 204 publications

(87 citation statements)

References 29 publications

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“…Gallstones can be documented within the common bile duct with accuracy similar to ERCP by EUS (39,205,(207)(208)(209)(210)(211)(212)(213)(214)(215)(216)(217)(218)(219)(220)(221)(222)(223)(224)(225)(226), with somewhat lower accuracy by MRCP (227)(228)(229)(230)(231)(232)(233), and by intraoperative cholangiography at the time of laparoscopic cholecystectomy (234)(235)(236)(237). Identification of a biliary etiology of acute pancreatitis is important because recurrent episodes will occur in one-third to two-thirds of these patients in follow-up periods of as short as 3 months unless gallstones are eliminated (238,239).…”

Section: Treatment Guideline Vii: Role Of Ercp and Biliary Sphincteromentioning

confidence: 99%

Practice Guidelines in Acute Pancreatitis

Banks

Freeman

2006

Am J Gastroenterology

1,660

980

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Section: Treatment Guideline Vii: Role Of Ercp and Biliary Sphincteromentioning

confidence: 99%

Practice Guidelines in Acute Pancreatitis

Banks

Freeman

2006

Am J Gastroenterology

1,660

980

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“…It is also the indicated procedure for diagnosing microlithiasis. Studies comparing magnetic resonance imaging (MRCP) to EUS in the diagnosis of choledocholithiasis show that both techniques are similar (7)(8)(9)(10)(11)(12)(13)(14)(15), although EUS may be more sensitive when small stones are present (12).…”

Section: Introductionmentioning

confidence: 99%

Usefulness of endoscopic ultrasonography in the clinical suspicion of biliary disease

Pozo

Tabernero

Poves

et al. 2011

Rev. esp. enferm. dig.

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“…Additionally, EUS permits the accurate and systematic visualization of the wall of the duodenum, including the papillary region [38] . Several authors compared MRCP and EUS in detecting choledocholithiasis showing cost-effectiveness and higher accuracy of EUS in detecting distal small stones in non-dilated ducts [26,32,39] . De Lédinghen et al [39] reported a 100% negative predictive value of EUS in the diagnosis of lithiasis, thus excluding the needing for further investigation and limiting unnecessary surgery.…”

Section: Impact Of Eus In the Diagnostic Work Up Of Cbd Dilatationmentioning

confidence: 99%

“…Several authors compared MRCP and EUS in detecting choledocholithiasis showing cost-effectiveness and higher accuracy of EUS in detecting distal small stones in non-dilated ducts [26,32,39] . De Lédinghen et al [39] reported a 100% negative predictive value of EUS in the diagnosis of lithiasis, thus excluding the needing for further investigation and limiting unnecessary surgery. In the previously mentioned study by Scheiman et al [32] , EUS was the most useful test for confirming a normal biliary tree, and the initial EUS strategy had the greatest cost-utility by avoiding unnecessary ERCPs and preventing ERCP-related complications [40] .…”

Section: Impact Of Eus In the Diagnostic Work Up Of Cbd Dilatationmentioning

confidence: 99%

Endoscopic ultrasound in common bile duct dilatation with normal liver enzymes

Angelis¹,

Marietti²,

Bruno³

et al. 2015

WJGE

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In recent years, the description of isolated bile duct dilatation has been increasingly observed in subjects with normal liver function tests and nonspecific abdominal symptoms, probably due to the widespread use of high-resolution imaging techniques. However, there is scant literature about the evolution of this condition and the impact of endoscopic ultrasound (EUS) in the diagnostic work up. When noninvasive imaging tests (transabdominal ultrasound, computed tomography or magnetic resonance cholangiopancreatography) fail to identify the cause of dilatation and clinical or biochemical alarm signs are absent, the probability of having biliary disease is considered low. In this setting, using EUS, the presence of pathologic findings (choledocholithiasis, strictures, chronic pancreatitis, ampullary or pancreatic tumors, cholangiocarcinoma), not always with a benign course, has been observed. The aim of this review has been to evaluate the prevalence of disease among nonjaundiced patients without signs of cytolysis and/or cholestasis and the assessment of EUS yield. Data point out to a promising role of EUS in the identification of a potential biliary pathology. EUS is a low invasive technique, with high accuracy, that could play a double cost-effective role: identifying pathologic conditions with dismal prognosis, in asymptomatic patients with negative prior imaging tests, and excluding pathologic conditions and further follow-up in healthy subjects. Core tip: Common bile duct dilatation, often without identified causes, in subjects with normal liver function tests and nonspecific abdominal symptoms, and absence of lesions on prior noninvasive imaging tests, is increasingly found in the clinical practice. Since the clinical suspicion for biliary pathology in that setting is usually low, and there are limited literature data, this condition is ignored. However, recent evidences show the existence of pathologies among these patients, often with a non-benign course. In this scenario, endoscopic

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Diagnosis of choledocholithiasis: EUS or magnetic resonance cholangiography? A prospective controlled study

Cited by 204 publications

References 29 publications

Practice Guidelines in Acute Pancreatitis

Practice Guidelines in Acute Pancreatitis

Usefulness of endoscopic ultrasonography in the clinical suspicion of biliary disease

Endoscopic ultrasound in common bile duct dilatation with normal liver enzymes

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