Evaluation of the Predictors of Choledocholithiasis: Comparative Analysis of Clinical, Biochemical, Radiological, Radionuclear, and Intraoperative Parameters

Bose, Shambhunath; Mazumdar, Alok; Prakash, Vijay; Kocher, Rouven; Katariya, S.; Pathak, Chander Mohan

doi:10.1007/s005950170194

Cited by 31 publications

(34 citation statements)

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“…Elevated serum bilirubin and alkaline phosphatase levels correlated better than liver enzymes and serum amylase [7]. The sensitivity and negative predictive value of cholescintigraphy scanning for diagnosing CBD calculi were better than those of ultrasonography, the sensitivity being 84% versus 50% and the negative predictive value 95% versus 82% [7]. Endoscopic retrograde cholangiopancreaticography was successful in 94% of the patients, and CBD calculi were diagnosed in 74% [7].…”

Section: Investigation Of Cbd Stones [12-50]mentioning

confidence: 88%

“…Jaundice correlated best, with a sensitivity of 69%; and pancreatitis had the lowest sensitivity (12%) [7]. Elevated serum bilirubin and alkaline phosphatase levels correlated better than liver enzymes and serum amylase [7]. The sensitivity and negative predictive value of cholescintigraphy scanning for diagnosing CBD calculi were better than those of ultrasonography, the sensitivity being 84% versus 50% and the negative predictive value 95% versus 82% [7].…”

Section: Investigation Of Cbd Stones [12-50]mentioning

confidence: 91%

“…Reporting on 88 patients with gallbladder stones, Bose et al found that of 53 patients with one or more risk factors, 26 harbored CBD calculi; none of 35 patients without risk factors had CBD stones. Jaundice correlated best, with a sensitivity of 69%; and pancreatitis had the lowest sensitivity (12%) [7]. Elevated serum bilirubin and alkaline phosphatase levels correlated better than liver enzymes and serum amylase [7].…”

Section: Investigation Of Cbd Stones [12-50]mentioning

confidence: 93%

“…The sensitivity and negative predictive value of cholescintigraphy scanning for diagnosing CBD calculi were better than those of ultrasonography, the sensitivity being 84% versus 50% and the negative predictive value 95% versus 82% [7]. Endoscopic retrograde cholangiopancreaticography was successful in 94% of the patients, and CBD calculi were diagnosed in 74% [7]. Moreover, peroperative cholangiography was 100% sensitive with no false-positive results [7].…”

Section: Investigation Of Cbd Stones [12-50]mentioning

confidence: 95%

“…CBD are often asymptomatic and are detected incidentally during workup in up to 7-20% of patients with gallbladder stones awaiting cholecystectomy [1][2][3][4][5][6][7][8]49]. From studies of biliary acute pancreatitis it is clear that up to 90% of stones pass through the CBD and into the faeces [10].…”

Section: Presentationmentioning

confidence: 99%

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Common bile duct stones — their presentation, diagnosis and management

Desai¹,

Shokouhi

2009

Indian J Surg

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Common bile duct (CBD) stones continue to pose a signifi cant problem both to the patient and the surgeon. They increase the morbidity of a patient undergoing Cholecystectomy from less than 5% to as much as 20% and almost zero mortality to as high as 30%. Recent times have thrown up a fair share of controversy in the management of this condition both due to technological innovations and costreduction-pressures. The aim in CBD stone disease, as in any benign disease is to discover a therapeutic algorithm with minimal morbidity, no mortality and at reasonable cost. This can be achieved only by a thorough understanding of the disease and also the available diagnostic and treatment modalities.This article dicusses the diagnosis, investigation and therapy of CBD stones and gives a therapeutic algorithm.

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Section: Investigation Of Cbd Stones [12-50]mentioning

confidence: 88%

Section: Investigation Of Cbd Stones [12-50]mentioning

confidence: 91%

Section: Investigation Of Cbd Stones [12-50]mentioning

confidence: 93%

Section: Investigation Of Cbd Stones [12-50]mentioning

confidence: 95%

Section: Presentationmentioning

confidence: 99%

See 3 more Smart Citations

Common bile duct stones — their presentation, diagnosis and management

Desai¹,

Shokouhi

2009

Indian J Surg

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Ultrasound versus liver function tests for diagnosis of common bile duct stones

Gurusamy

Giljača

Takwoingi

et al. 2015

Cochrane Database of Systematic Reviews

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Many people may have common bile duct stones in spite of having a negative ultrasound or liver function test. Such people may have to be re-tested with other modalities if the clinical suspicion of common bile duct stones is very high because of their symptoms. False-positive results are also possible and further non-invasive testing is recommended to confirm common bile duct stones to avoid the risks of invasive testing.It should be noted that these results were based on few studies of poor methodological quality and the results for ultrasound varied considerably between studies. Therefore, the results should be interpreted with caution. Further studies of high methodological quality are necessary to determine the diagnostic accuracy of ultrasound and liver function tests.

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