Predicting common bile duct stones by non-invasive parameters
Common bile duct (CBD) stone affect about 10% of patients with symptomatic cholelithiasis. The American Society for Gastrointestinal Endoscopy (ASGE) published a strategy in 2010 for managing patients with suspected choledocholithiasis. This study aimed to assess the performance of different clinica...
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| Veröffentlicht in: | Hepatobiliary & pancreatic diseases international 2020-06, Vol.19 (3), p.266-270 |
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| creator | Kadah, Anas Khoury, Tawfik Mahamid, Mahmud Assy, Nimer Sbeit, Wisam |
| description | Common bile duct (CBD) stone affect about 10% of patients with symptomatic cholelithiasis. The American Society for Gastrointestinal Endoscopy (ASGE) published a strategy in 2010 for managing patients with suspected choledocholithiasis. This study aimed to assess the performance of different clinical parameters in predicting CBD stones.
A total of 344 patients suspected to suffer from CBD stone and referred to endoscopic ultrasound (EUS) were included. Parameters were collected and their prediction power for CBD stones was assessed.
One hundred and sixty-seven patients without CBD stone according to EUS (group A) were compared to 177 patients with CBD stones (group B). Several predictive factors for CBD stone were identified on univariate analysis. In multivariate regression analysis, CBD width by US (OR = 1.224, 95% CI: 1.073–1.359; P = 0.0026), age (OR = 1.023, 95% CI: 1.011–1.035; P = 0.0002) and gamma glutamyl transferase (GGT) level (OR = 1.001, 95% CI: 1.000–1.002; P = 0.0018) were significantly correlated with CBD stone, with receiver operator characteristics (ROC) of 0.7259. We generated a diagnostic equation [age (yr) × 0.1 + CBD width (mm) by US × 1 + GGT (U/L) × 0.005] to predict CBD stone with ROC of 0.7287.
We suggest this score as a very strong predictor for CBD stones, and to reduce the strength of total bilirubin and transaminases as predictors. |
| doi_str_mv | 10.1016/j.hbpd.2019.11.003 |
| format | Article |
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A total of 344 patients suspected to suffer from CBD stone and referred to endoscopic ultrasound (EUS) were included. Parameters were collected and their prediction power for CBD stones was assessed.
One hundred and sixty-seven patients without CBD stone according to EUS (group A) were compared to 177 patients with CBD stones (group B). Several predictive factors for CBD stone were identified on univariate analysis. In multivariate regression analysis, CBD width by US (OR = 1.224, 95% CI: 1.073–1.359; P = 0.0026), age (OR = 1.023, 95% CI: 1.011–1.035; P = 0.0002) and gamma glutamyl transferase (GGT) level (OR = 1.001, 95% CI: 1.000–1.002; P = 0.0018) were significantly correlated with CBD stone, with receiver operator characteristics (ROC) of 0.7259. We generated a diagnostic equation [age (yr) × 0.1 + CBD width (mm) by US × 1 + GGT (U/L) × 0.005] to predict CBD stone with ROC of 0.7287.
We suggest this score as a very strong predictor for CBD stones, and to reduce the strength of total bilirubin and transaminases as predictors.</description><identifier>ISSN: 1499-3872</identifier><identifier>DOI: 10.1016/j.hbpd.2019.11.003</identifier><identifier>PMID: 31810810</identifier><language>eng</language><publisher>Singapore: Elsevier B.V</publisher><subject>Adult ; Age Factors ; Aged ; Aged, 80 and over ; Case-Control Studies ; Choledocholithiasis - diagnosis ; Common bile duct ; Common Bile Duct - diagnostic imaging ; Common Bile Duct - pathology ; Endosonography ; Female ; Gallstones - diagnosis ; gamma-Glutamyltransferase - blood ; Humans ; Male ; Middle Aged ; Practice Guidelines as Topic ; Predictors ; ROC Curve ; Stones</subject><ispartof>Hepatobiliary & pancreatic diseases international, 2020-06, Vol.19 (3), p.266-270</ispartof><rights>2019</rights><rights>Copyright © 2019. Published by Elsevier B.V.</rights><rights>Copyright © Wanfang Data Co. Ltd. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c392t-2c8f552abd14d4443786031b0ca132914e1055cd1a31bc6f04c7118f56e189bc3</citedby><cites>FETCH-LOGICAL-c392t-2c8f552abd14d4443786031b0ca132914e1055cd1a31bc6f04c7118f56e189bc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://www.wanfangdata.com.cn/images/PeriodicalImages/gjgdybzz-z/gjgdybzz-z.jpg</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1499387219302218$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31810810$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kadah, Anas</creatorcontrib><creatorcontrib>Khoury, Tawfik</creatorcontrib><creatorcontrib>Mahamid, Mahmud</creatorcontrib><creatorcontrib>Assy, Nimer</creatorcontrib><creatorcontrib>Sbeit, Wisam</creatorcontrib><title>Predicting common bile duct stones by non-invasive parameters</title><title>Hepatobiliary & pancreatic diseases international</title><addtitle>Hepatobiliary Pancreat Dis Int</addtitle><description>Common bile duct (CBD) stone affect about 10% of patients with symptomatic cholelithiasis. The American Society for Gastrointestinal Endoscopy (ASGE) published a strategy in 2010 for managing patients with suspected choledocholithiasis. This study aimed to assess the performance of different clinical parameters in predicting CBD stones.
A total of 344 patients suspected to suffer from CBD stone and referred to endoscopic ultrasound (EUS) were included. Parameters were collected and their prediction power for CBD stones was assessed.
One hundred and sixty-seven patients without CBD stone according to EUS (group A) were compared to 177 patients with CBD stones (group B). Several predictive factors for CBD stone were identified on univariate analysis. In multivariate regression analysis, CBD width by US (OR = 1.224, 95% CI: 1.073–1.359; P = 0.0026), age (OR = 1.023, 95% CI: 1.011–1.035; P = 0.0002) and gamma glutamyl transferase (GGT) level (OR = 1.001, 95% CI: 1.000–1.002; P = 0.0018) were significantly correlated with CBD stone, with receiver operator characteristics (ROC) of 0.7259. We generated a diagnostic equation [age (yr) × 0.1 + CBD width (mm) by US × 1 + GGT (U/L) × 0.005] to predict CBD stone with ROC of 0.7287.
We suggest this score as a very strong predictor for CBD stones, and to reduce the strength of total bilirubin and transaminases as predictors.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Case-Control Studies</subject><subject>Choledocholithiasis - diagnosis</subject><subject>Common bile duct</subject><subject>Common Bile Duct - diagnostic imaging</subject><subject>Common Bile Duct - pathology</subject><subject>Endosonography</subject><subject>Female</subject><subject>Gallstones - diagnosis</subject><subject>gamma-Glutamyltransferase - blood</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Practice Guidelines as Topic</subject><subject>Predictors</subject><subject>ROC Curve</subject><subject>Stones</subject><issn>1499-3872</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhnNQXF39Ax6kR0FaM0nbbUEPIn6BoAc9hzSZrinbZE3ald1fb5ZVj8JAYHjed8hDyCnQDCiUl1320Sx1xijUGUBGKd8jh5DXdcqrGZuQoxA6SllVFeUBmXCogMY5JNevHrVRg7HzRLm-dzZpzAITPaohCYOzGJJmnVhnU2NXMpgVJkvpZY8D-nBM9lu5CHjy807J-_3d2-1j-vzy8HR785wqXrMhZapqi4LJRkOu8zzns6qkHBqqJHBWQ45Ai0JpkHGpypbmagYQMyVCVTeKT8nFrvdL2lbauejc6G28KObdXK-bzUZsGGXx1xRopM939NK7zxHDIHoTFC4W0qIbg2CcsVleMrZF2Q5V3oXgsRVLb3rp1wKo2IoVndiKFVuxAkDEEzF09tM_Nj3qv8iv1Qhc7QCMTlYGvQjKoFXRtEc1CO3Mf_3fulaKMA</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Kadah, Anas</creator><creator>Khoury, Tawfik</creator><creator>Mahamid, Mahmud</creator><creator>Assy, Nimer</creator><creator>Sbeit, Wisam</creator><general>Elsevier B.V</general><general>Gastroenterology and Endoscopy Units, The Nazareth Hospital, EMMS, Nazareth, Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel%Gastroenterology and Endoscopy Units, The Nazareth Hospital, EMMS, Nazareth, Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel%Department of Internal Medicine, Galilee Medical Center, Nahariya, Israel, Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel</general><general>Department of Gastroenterology, Galilee Medical Center, Nahariya, Israel, Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel%Department of Gastroenterology, Galilee Medical Center, Nahariya, Israel, Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope></search><sort><creationdate>20200601</creationdate><title>Predicting common bile duct stones by non-invasive parameters</title><author>Kadah, Anas ; Khoury, Tawfik ; Mahamid, Mahmud ; Assy, Nimer ; Sbeit, Wisam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c392t-2c8f552abd14d4443786031b0ca132914e1055cd1a31bc6f04c7118f56e189bc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Case-Control Studies</topic><topic>Choledocholithiasis - diagnosis</topic><topic>Common bile duct</topic><topic>Common Bile Duct - diagnostic imaging</topic><topic>Common Bile Duct - pathology</topic><topic>Endosonography</topic><topic>Female</topic><topic>Gallstones - diagnosis</topic><topic>gamma-Glutamyltransferase - blood</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Practice Guidelines as Topic</topic><topic>Predictors</topic><topic>ROC Curve</topic><topic>Stones</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kadah, Anas</creatorcontrib><creatorcontrib>Khoury, Tawfik</creatorcontrib><creatorcontrib>Mahamid, Mahmud</creatorcontrib><creatorcontrib>Assy, Nimer</creatorcontrib><creatorcontrib>Sbeit, Wisam</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><jtitle>Hepatobiliary & pancreatic diseases international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kadah, Anas</au><au>Khoury, Tawfik</au><au>Mahamid, Mahmud</au><au>Assy, Nimer</au><au>Sbeit, Wisam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predicting common bile duct stones by non-invasive parameters</atitle><jtitle>Hepatobiliary & pancreatic diseases international</jtitle><addtitle>Hepatobiliary Pancreat Dis Int</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>19</volume><issue>3</issue><spage>266</spage><epage>270</epage><pages>266-270</pages><issn>1499-3872</issn><abstract>Common bile duct (CBD) stone affect about 10% of patients with symptomatic cholelithiasis. The American Society for Gastrointestinal Endoscopy (ASGE) published a strategy in 2010 for managing patients with suspected choledocholithiasis. This study aimed to assess the performance of different clinical parameters in predicting CBD stones.
A total of 344 patients suspected to suffer from CBD stone and referred to endoscopic ultrasound (EUS) were included. Parameters were collected and their prediction power for CBD stones was assessed.
One hundred and sixty-seven patients without CBD stone according to EUS (group A) were compared to 177 patients with CBD stones (group B). Several predictive factors for CBD stone were identified on univariate analysis. In multivariate regression analysis, CBD width by US (OR = 1.224, 95% CI: 1.073–1.359; P = 0.0026), age (OR = 1.023, 95% CI: 1.011–1.035; P = 0.0002) and gamma glutamyl transferase (GGT) level (OR = 1.001, 95% CI: 1.000–1.002; P = 0.0018) were significantly correlated with CBD stone, with receiver operator characteristics (ROC) of 0.7259. We generated a diagnostic equation [age (yr) × 0.1 + CBD width (mm) by US × 1 + GGT (U/L) × 0.005] to predict CBD stone with ROC of 0.7287.
We suggest this score as a very strong predictor for CBD stones, and to reduce the strength of total bilirubin and transaminases as predictors.</abstract><cop>Singapore</cop><pub>Elsevier B.V</pub><pmid>31810810</pmid><doi>10.1016/j.hbpd.2019.11.003</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Age Factors Aged Aged, 80 and over Case-Control Studies Choledocholithiasis - diagnosis Common bile duct Common Bile Duct - diagnostic imaging Common Bile Duct - pathology Endosonography Female Gallstones - diagnosis gamma-Glutamyltransferase - blood Humans Male Middle Aged Practice Guidelines as Topic Predictors ROC Curve Stones |
| title | Predicting common bile duct stones by non-invasive parameters |
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