Endoscopic ultrasonography versus cholangiography for the diagnosis of choledocholithiasis

Gastrointestinal Endoscopy
M I CantoM V Sivak

Abstract

Choledocholithiasis is a major source of morbidity among patients undergoing cholecystectomy for symptomatic gallstones. There is no consensus on the best approach to diagnosing bile duct stones. We compared the safety, accuracy, diagnostic yield, and cost of EUS- and ERCP-based approaches. Sixty-four consecutive pre- and post-cholecystectomy patients referred for endoscopic retrograde cholangiopancreatography (ERCP) for suspected choledocholithiasis were prospectively evaluated in a blinded fashion. All were stratified into risk groups using predefined criteria. Endoscopic ultrasonography (EUS) and ERCP were sequentially performed by two endoscopists. The success rates of EUS and ERCP were 98% and 94%, respectively. The accuracy of EUS for diagnosing choledocholithiasis was 94%. EUS provided an additional or alternative diagnosis to bile duct stones in 21% of patients. The complication rate of EUS was significantly lower than diagnostic ERCP. An EUS-based strategy costs less than diagnostic ERCP in patients with low, moderate, or intermediate risk. EUS is comparably accurate, but safer and less costly than ERCP for evaluating patients with suspected choledocholithiasis. It is useful in patients with an increased risk of having...Continue Reading

References

Aug 1, 1991·Archives of Surgery·J M SackierM Paz-Partlow
Jan 1, 1986·Scandinavian Journal of Gastroenterology. Supplement·H Dancygier, M Classen
Jan 1, 1986·Scandinavian Journal of Gastroenterology. Supplement·K YasudaK Kawai
Nov 1, 1994·World Journal of Surgery·R RiegerW Wayand
Apr 1, 1994·Gastroenterology·P AmouyalP Bernades
Jul 1, 1993·The British Journal of Surgery·L Basso, A Tocchi
Jan 28, 1993·The New England Journal of Medicine·S T FanJ Wong
Feb 1, 1993·The British Journal of Surgery·P A GraceD Bouchier-Hayes
May 1, 1993·Archives of Surgery·D G ClairD C Brooks
Sep 26, 1996·The New England Journal of Medicine·M L FreemanA M Pheley

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Citations

Nov 3, 2006·Digestive Diseases and Sciences·Spiros N Sgouros, Christina Bergele
Jun 12, 2004·Current Gastroenterology Reports·Ali Fazel, Peter Draganov
Feb 20, 2004·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·E MeroniA Malesci
Jul 31, 2013·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Anell MeyerChee Y Ooi
Jul 2, 2004·Gastrointestinal Endoscopy·Hans SeifertChristoph F Dietrich
Jan 27, 2005·Gastrointestinal Endoscopy·Joseph RomagnuoloUNKNOWN Calgary Advanced Therapeutic Endoscopy Center study group
Jul 4, 2001·Gastroenterology Clinics of North America·S O Ross, C E Forsmark
Apr 6, 2002·Clinics in Liver Disease·Sarathchandra I Reddy, Norman D Grace
May 24, 2003·Best Practice & Research. Clinical Gastroenterology·Cynthia W Ko, Sum P Lee
Jul 18, 2002·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·M B Sheridan
Jul 23, 2003·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·W Luman, E S Y Chan
Jul 9, 2002·Journal of Gastroenterology and Hepatology·Yoshitsugu KubotaYoshihito Imai
Dec 10, 1999·The New England Journal of Medicine·W R Brugge, J Van Dam
Mar 17, 1999·Annals of Surgery·F PratG Pelletier
Oct 7, 2006·Current Opinion in Gastroenterology·P R Pfau, M L Kochman
Oct 7, 2006·Current Opinion in Gastroenterology·N I Church, K R Palmer
Dec 22, 1999·Journal of Clinical Gastroenterology·S Mallery, J Van Dam
Oct 6, 2001·Journal of Clinical Gastroenterology·Y SongürB Sahin
Sep 16, 2003·Ultrasound Quarterly·F J DohertyL S Bailen
Feb 6, 2008·Journal of Gastroenterology and Hepatology·Abdulrahman AljebreenMohamad A Eloubeidi
Apr 16, 2005·Gut·UNKNOWN Working Party of the British Society of GastroenterologyUNKNOWN Association of Upper GI Surgeons of Great Britain and Ireland
Jun 24, 2006·AJR. American Journal of Roentgenology·Stephan W AndersonJorge A Soto
Apr 5, 2013·World Journal of Gastroenterology : WJG·Chang Whan KimSok Won Han
Feb 18, 2012·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Igor Tozzi di AngeloJana Zapletalova
May 9, 2001·World Journal of Surgery·Zahir Soonawalla
Jan 2, 2014·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Andrea AnderloniMario Del Piano
Aug 3, 2010·Digestive Diseases and Sciences·Saad F JazrawiJayaprakash Sreenarasimhaiah
Oct 2, 2013·Gastrointestinal Endoscopy Clinics of North America·Vincent C Kuo, Paul R Tarnasky
Jun 6, 2013·Gastrointestinal Endoscopy Clinics of North America·Charles GabbertJennifer Chennat
Apr 2, 2013·Gastrointestinal Endoscopy Clinics of North America·James Buxbaum
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Frances TseAlan N Barkun
Feb 18, 2016·Gastroenterology Research and Practice·Silvia QuaresimaAlessandro M Paganini
Dec 28, 2010·The Surgical Clinics of North America·Steven ReitzLowell W Chambers
May 19, 2010·Gastroenterology Clinics of North America·Darby E Robinson O'Neill, Michael D Saunders
Jan 29, 2010·Gastrointestinal Endoscopy·John T MapleJason A Dominitz
Jul 30, 2008·Current Problems in Diagnostic Radiology·Janice Ash-MilesMark Callaway
Jun 24, 2008·The Medical Clinics of North America·Siriboon AttasaranyaGlen A Lehman
Apr 3, 2004·Gastroentérologie Clinique Et Biologique·Guillaume GautierPierre-Jean Valette

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