Predictive ability of choledocholithiasis indicators: a prospective evaluation
To assess the predictive ability of various indicators of common bile duct calculi, 457 patients undergoing cholecystectomy for gallstone disease were prospectively screened for the presence of 11 predefined criteria of possible choledocholithiasis. The predictive ability of the criteria, individual...
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| Veröffentlicht in: | Annals of surgery 1985-07, Vol.202 (1), p.64-68 |
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| container_title | Annals of surgery |
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| creator | HAUER-JENSEN, M KARESEN, R NYGAARD, K SOLHEIM, K AMLIE, E HAVIG, Ø VIDDAL, K. O |
| description | To assess the predictive ability of various indicators of common bile duct calculi, 457 patients undergoing cholecystectomy for gallstone disease were prospectively screened for the presence of 11 predefined criteria of possible choledocholithiasis. The predictive ability of the criteria, individually and in combinations, was determined. For all criteria, except a history of pancreatitis, a significantly increased incidence of choledocholithiasis was found. The number of positive criteria correlated positively with the frequency of common bile duct calculi. The negative predictive value and sensitivity of the total set of criteria were 98% and 89.5%, respectively. Following common duct exploration, the number of complications and the duration of postoperative hospitalization were significantly increased as compared with simple cholecystectomy. Peroperative cholangiography with cholecystectomy is recommended in all patients, with one or more criteria of possible choledocholithiasis. Routine peroperative cholangiography in patients with no positive criteria does not seem to be necessary. |
| doi_str_mv | 10.1097/00000658-198507000-00010 |
| format | Article |
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Following common duct exploration, the number of complications and the duration of postoperative hospitalization were significantly increased as compared with simple cholecystectomy. Peroperative cholangiography with cholecystectomy is recommended in all patients, with one or more criteria of possible choledocholithiasis. Routine peroperative cholangiography in patients with no positive criteria does not seem to be necessary.</description><identifier>ISSN: 0003-4932</identifier><identifier>EISSN: 1528-1140</identifier><identifier>DOI: 10.1097/00000658-198507000-00010</identifier><identifier>PMID: 4015213</identifier><identifier>CODEN: ANSUA5</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott</publisher><subject>Biological and medical sciences ; Cholangiography ; Cholangiopancreatography, Endoscopic Retrograde ; Cholecystectomy ; Female ; Gallstones - diagnosis ; Gallstones - diagnostic imaging ; Gallstones - surgery ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical sciences ; Middle Aged ; Other diseases. 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O</creatorcontrib><title>Predictive ability of choledocholithiasis indicators: a prospective evaluation</title><title>Annals of surgery</title><addtitle>Ann Surg</addtitle><description>To assess the predictive ability of various indicators of common bile duct calculi, 457 patients undergoing cholecystectomy for gallstone disease were prospectively screened for the presence of 11 predefined criteria of possible choledocholithiasis. The predictive ability of the criteria, individually and in combinations, was determined. For all criteria, except a history of pancreatitis, a significantly increased incidence of choledocholithiasis was found. The number of positive criteria correlated positively with the frequency of common bile duct calculi. The negative predictive value and sensitivity of the total set of criteria were 98% and 89.5%, respectively. Following common duct exploration, the number of complications and the duration of postoperative hospitalization were significantly increased as compared with simple cholecystectomy. Peroperative cholangiography with cholecystectomy is recommended in all patients, with one or more criteria of possible choledocholithiasis. Routine peroperative cholangiography in patients with no positive criteria does not seem to be necessary.</description><subject>Biological and medical sciences</subject><subject>Cholangiography</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Cholecystectomy</subject><subject>Female</subject><subject>Gallstones - diagnosis</subject><subject>Gallstones - diagnostic imaging</subject><subject>Gallstones - surgery</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Other diseases. Semiology</subject><subject>Postoperative Complications - diagnosis</subject><subject>Preoperative Care</subject><subject>Prospective Studies</subject><issn>0003-4932</issn><issn>1528-1140</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUUtLAzEQDqLUWv0Jwh7E22oek82uB0GKLxD1oOeQprM2st3UZLfQf29qa9FAGDLfI5N8hGSMXjBaqUu6XoUsc1aVkqp0yNNmdI8MmeSpzYDuk2HqiRwqwQ_JUYyfiQElVQMyAJpoTAzJ82vAqbOdW2JmJq5x3SrzdWZnvsGpXxfXzZyJLmauTUTT-RCvMpMtgo8L3AhxaZredM63x-SgNk3Ek20dkfe727fxQ_70cv84vnnKLQjo8glYgQqmFVQMLApEy620JQIwo6SsLAIvhKyLWik1kQwlA6bqwpRQAavFiFxvfBf9ZI5Ti20XTKMXwc1NWGlvnP6PtG6mP_xSMy5pKcpkcL41CP6rx9jpuYsWm8a06PuoVcEpT7MmYrkh2vTgGLDeXcKoXmehf7PQuyz0TxZJevp3yJ1w-_kJP9viJlrT1MG01sUdreJcKmDiG-ENkxs</recordid><startdate>19850701</startdate><enddate>19850701</enddate><creator>HAUER-JENSEN, M</creator><creator>KARESEN, R</creator><creator>NYGAARD, K</creator><creator>SOLHEIM, K</creator><creator>AMLIE, E</creator><creator>HAVIG, Ø</creator><creator>VIDDAL, K. 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Semiology</topic><topic>Postoperative Complications - diagnosis</topic><topic>Preoperative Care</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HAUER-JENSEN, M</creatorcontrib><creatorcontrib>KARESEN, R</creatorcontrib><creatorcontrib>NYGAARD, K</creatorcontrib><creatorcontrib>SOLHEIM, K</creatorcontrib><creatorcontrib>AMLIE, E</creatorcontrib><creatorcontrib>HAVIG, Ø</creatorcontrib><creatorcontrib>VIDDAL, K. 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O</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictive ability of choledocholithiasis indicators: a prospective evaluation</atitle><jtitle>Annals of surgery</jtitle><addtitle>Ann Surg</addtitle><date>1985-07-01</date><risdate>1985</risdate><volume>202</volume><issue>1</issue><spage>64</spage><epage>68</epage><pages>64-68</pages><issn>0003-4932</issn><eissn>1528-1140</eissn><coden>ANSUA5</coden><abstract>To assess the predictive ability of various indicators of common bile duct calculi, 457 patients undergoing cholecystectomy for gallstone disease were prospectively screened for the presence of 11 predefined criteria of possible choledocholithiasis. The predictive ability of the criteria, individually and in combinations, was determined. For all criteria, except a history of pancreatitis, a significantly increased incidence of choledocholithiasis was found. 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| ispartof | Annals of surgery, 1985-07, Vol.202 (1), p.64-68 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Biological and medical sciences Cholangiography Cholangiopancreatography, Endoscopic Retrograde Cholecystectomy Female Gallstones - diagnosis Gallstones - diagnostic imaging Gallstones - surgery Gastroenterology. Liver. Pancreas. Abdomen Humans Liver. Biliary tract. Portal circulation. Exocrine pancreas Male Medical sciences Middle Aged Other diseases. Semiology Postoperative Complications - diagnosis Preoperative Care Prospective Studies |
| title | Predictive ability of choledocholithiasis indicators: a prospective evaluation |
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