Appropriate Patient Selection in the Management of Common Bile Duct Stones : When Not to Do ERCP
المؤلفون المشاركون
Tse, Donald
al-Bakir, Ibrahim
Trivedi, Palak Jitendrakumar
D'Costa, Horace
المصدر
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2012-06-13
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
Magnetic resonance cholangiopancreatography (MRCP) is noninvasive and accurate for diagnosing intra common bile duct stones (ICSs).
However, given limited access, routine utilisation for investigating all patients with gallstone disease is neither practical nor cost-effective.
Conversely, many individuals proceed directly to endoscopic retrograde cholangiopancreatography (ERCP), an invasive test with appreciable complications.
Aim.
Identify factors associated with ICS in order to improve risk-stratification for MRCP/ERCP.
Methods.
All patients having undergone cholecystectomy between November 2007 and October 2008 were reviewed.
High-risk features for ICS were predefined, and their true presence confirmed by ERCP or intraoperative cholangiogram.
Multivariate logistic regression was performed on candidate risk features.
Results.
Of 231 patients, 10.4% had ICS.
Defining a high-risk group with “both” biochemical and ultrasound risk factors predicted ICS with 92% specificity and also bore strong association (OR 8.88).
However, isolated hyperbilirubinaemia, ultrasound impression of CBD stones, and clinical risk factors did not (OR 1.10, 0.97, and 1.26).
Normal liver biochemistry and normal ultrasound had a NPV of 99.5% for ICS.
Conclusions.
Ultrasound impression of CBD calculi without ductal dilatation is not predictive of ICS.
Patients with normal liver biochemistry and normal CBD diameter on ultrasound are unlikely to have ICS and should not proceed to ERCP.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Trivedi, Palak Jitendrakumar& Tse, Donald& al-Bakir, Ibrahim& D'Costa, Horace. 2012. Appropriate Patient Selection in the Management of Common Bile Duct Stones : When Not to Do ERCP. ISRN Surgery،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-460466
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Trivedi, Palak Jitendrakumar…[et al.]. Appropriate Patient Selection in the Management of Common Bile Duct Stones : When Not to Do ERCP. ISRN Surgery No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-460466
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Trivedi, Palak Jitendrakumar& Tse, Donald& al-Bakir, Ibrahim& D'Costa, Horace. Appropriate Patient Selection in the Management of Common Bile Duct Stones : When Not to Do ERCP. ISRN Surgery. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-460466
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-460466
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