Parameters Suggesting Spontaneous Passage of Stones from Common Bile Duct: A Retrospective Study
المؤلفون المشاركون
Bahouth, Zaher
Khoury, Tawfik
Sbeit, Wisam
Adileh, Mohamed
Imam, Ashraf
Azraq, Yosef
Bilitzky-Kopit, Avital
Massarwa, Muhamad
Benson, Ari
Abu-Gazaleh, Samir
Safadi, Rifaat
Khalaileh, Abed
المصدر
Canadian Journal of Gastroenterology and Hepatology
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-03-03
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background.
Common bile duct (CBD) stones are common.
However, they are known to pass spontaneously, which obviates the need for ERCP.
Aim.
The aim of this study is to identify specific predictors for spontaneous passage of CBD stones.
Methods.
Data was retrospectively collected for all patients who were hospitalized with clinical, laboratory, or ultrasonographic evidence of choledocholithiasis and who underwent magnetic resonance cholangiopancreatography (MRCP) in Hadassah Medical Center between 2005 and 2011.
The patients were classified into 4 groups: group A (positive MRCP and positive ERCP), group B (positive MRCP but negative ERCP), group C (positive MRCP but did not undergo ERCP), and group D (negative MRCP that did not undergo ERCP) for choledocholithiasis.
All positive MRCP-groups (A+B+C) were further grouped together into group E.
We compared groups A versus B and groups E versus D.
Results.
Comparing groups A versus B, only gamma-glutamyl transferase predicted spontaneous passage of stones from CBD, as the level was significantly higher in group A (677±12.1) versus group B (362.4±216.2) (P=0.023).
Patients with small stone diameter (P=0.001), distal stones (P=0.05), and absence of intrahepatic dilatation (P=0.047) tend to pass their stones spontaneously.
Comparing groups D versus E, it was found that male gender (P=0.03), older age (P<0.001), high levels of GGT (P=0.022), high levels of alkaline phosphatase (P=0.011), high levels of total bilirubin (P=0.007), and lower levels of amylase (P<0.001) are predictors for positive MRCP studies for CBD stones.
Conclusion.
Identification of specific predictors is important to avoid unnecessary invasive endoscopic intervention.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Khoury, Tawfik& Adileh, Mohamed& Imam, Ashraf& Azraq, Yosef& Bilitzky-Kopit, Avital& Massarwa, Muhamad…[et al.]. 2019. Parameters Suggesting Spontaneous Passage of Stones from Common Bile Duct: A Retrospective Study. Canadian Journal of Gastroenterology and Hepatology،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1129862
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Khoury, Tawfik…[et al.]. Parameters Suggesting Spontaneous Passage of Stones from Common Bile Duct: A Retrospective Study. Canadian Journal of Gastroenterology and Hepatology No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1129862
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Khoury, Tawfik& Adileh, Mohamed& Imam, Ashraf& Azraq, Yosef& Bilitzky-Kopit, Avital& Massarwa, Muhamad…[et al.]. Parameters Suggesting Spontaneous Passage of Stones from Common Bile Duct: A Retrospective Study. Canadian Journal of Gastroenterology and Hepatology. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1129862
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1129862
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر