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Gallstone Pancreatitis and Choledocholithiasis: Using Imaging and Laboratory Trends to Predict the Likelihood of Persistent Stones at Cholangiography.
- Source :
-
World Journal of Surgery . Oct2018, Vol. 42 Issue 10, p3143-3149. 7p. 6 Charts. - Publication Year :
- 2018
-
Abstract
- Background: Patients with gallstone pancreatitis (GP) or choledocholithiasis (CDL) may have common bile duct (CBD) stones that persist until cholangiography. The aim of this study is to evaluate pre-cholangiogram factors that predict persistent CBD stones.Methods: Multiple logistic regression analyses were performed to identify demographic, laboratory, and radiologic predictors of persistent CBD stones and non-therapeutic cholangiography among adults with GP or CDL.Results: In 152 patients from 2010 to 2015, preoperative diagnosis, presence of a CBD stone on US, and age ≥ 60 years were associated with persistent CBD stones. Two risk factors alone had a PPV of 88% and the absence of all risk factors had a NPV of 94%. Age < 60 years and the absence of a CBD stone on US were most predictive of non-therapeutic cholangiography.Conclusion: Age, LFTs, and US help predict persistent CBD stones in patients initially presenting with GP or CDL and help minimize non-therapeutic preoperative cholangiography. [ABSTRACT FROM AUTHOR]
- Subjects :
- *GALLSTONES
*CALCULI
*GALLBLADDER diseases
*PANCREATITIS
*CHOLANGIOGRAPHY
Subjects
Details
- Language :
- English
- ISSN :
- 03642313
- Volume :
- 42
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- World Journal of Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 131640370
- Full Text :
- https://doi.org/10.1007/s00268-018-4618-6