지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 592 - 597 (6page)
이용수
초록· 키워드
오류제보하기
Background/Aims: Endoscopic retrograde cholangiopancreatography (ERCP) is the initial therapy recommended for patients with high likelihood of choledocholithiasis. To determine whether endoscopic ultrasonography (EUS) can prevent diagnostic ERCPs in patients with high probability of choledocholithiasis and inconclusive ultrasonography (US).
Methods: All patients with high likelihood of choledocholithiasis and negative US underwent EUS. ERCP was performed for the patients who showed a definite stone/sludge on EUS. Patients without choledocholithiasis were followed up for 3 months. The primary outcome was avoidance of diagnostic ERCP.
Results: We included 78 patients (51 women; 27 men). Of these, 25 and 7 (total 41%) were diagnosed with choledocholithiasis and sludge, respectively; stone/sludge was removed in 96.9% of the patients. EUS ruled out choledocholithiasis in 38 patients (48.7%). Two of them were found to have choledocholithiasis on follow-up. The sensitivity, specificity, positive and negative predictive value of EUS for detecting choledocholithiasis were 93.9%, 97.3%, 96.9%, and 94.7%, respectively. Unnecessary ERCP was avoided in 57.7% of the patients by using the EUS-first approach.
Conclusions: EUS is a highly accurate and safe procedure. EUS can replace ERCP as the initial investigation in patients with a high probability of choledocholithiasis. It avoids unnecessary ERCP; hence, decreasing related costs and complications.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Anderloni A / 2014 / Prospective evaluation of early endoscopic ultrasonography for triage in suspected choledocholithiasis:results from a large single centre series / Dig L
Arguedas MR / 2001 / Where do ERCP, endoscopic ultrasou
Benjaminov F / 2013 / Consecutive versus separate sessions of endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) for symptomatic choledoch
Boraschi P / 1999 / Choledocolithiasis: diagnostic accuracy of MR cholangiopancreatography. Three-year experience / Magn Reson Imaging 17 : 1245 ~ 1253
Buscarini E / 2003 / EUS for suspected choledocholithiasis: do benefits outweigh costs? A prospective, controlled study / Gastrointest Endosc 57 : 510 ~ 518
Arguedas MR / 2001 / Where do ERCP, endoscopic ultrasou
Benjaminov F / 2013 / Consecutive versus separate sessions of endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) for symptomatic choledoch
Boraschi P / 1999 / Choledocolithiasis: diagnostic accuracy of MR cholangiopancreatography. Three-year experience / Magn Reson Imaging 17 : 1245 ~ 1253
Buscarini E / 2003 / EUS for suspected choledocholithiasis: do benefits outweigh costs? A prospective, controlled study / Gastrointest Endosc 57 : 510 ~ 518
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