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EBSCO

https://doi.org/10.14300/mnnc.2021.16001

Preoperative diagnosis of common bile duct stones : possibilities and opportunities

Alexander Givievich Natroshvili; Aleksandr Shulutko; Enver Baychorov; Iliya Natroshvili; Muhammad Ruziboyevich Davlyatov; Elkhan Gadzhikhanovich Osmanov; Mamuka Otarievich Chanturia;

Choledocholithiasis occurs in 5–20 % of patients with cholelithiasis; however, the optimal algorithm for its preoperative detection has not yet been developed. A retrospective study of 546 patients with cholelithiasis was carried out to research the diagnostic capabilities of the algorithm for choledocholithiasis risk stratification proposed by the ASGE and to determine the predictors of choledocholithiasis. The accuracy of the diagnostic algorithm was 78 %, the sensitivity was 91.7 %, and the specificity was 75.8 %. Indicators of total bilirubin in the blood >35 μmol/L and the presence of a stone in the common bile duct during transabdominal ultrasound had sufficient predictive accuracy to determine the subsequent tactics of managing patients.

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References:
1. Lill S., Rantala A., Pekkala E. [et al.]. Elective laparoscopic cholecystectomy without routine intraoperative cholangiography: a retrospective analysis of 1101 consecutive cases. Scand. J. Surg. 2010;99(4):197-200. https://doi.org/10.1177/145749691009900403
2. Yousefpour Azary S., Kalbasi H., Setayesh A. [et al.]. Predictive value and main determinants of abnormal features of intraoperative cholangiography during cholecystectomy. Hepatobiliary Pancreat. Dis. Int. 2011;10(3):308-312.
3. Ko C. W., Lee S. P. Epidemiology and natural history of common bile duct stones and prediction of disease. Gastrointest. Endosc. 2002;56(6B):a129005. https://doi.org/10.1067/mge.2002.129005
4. Tazuma S. Epidemiology, pathogenesis, and classification of biliary stones (common bile duct and intrahepatic). Best. Pract. Res. Clin. Gastroenterol. 2006;20(6):1075-1083. https://doi.org/10.1016/j.bpg.2006.05.009
5. Gracie W. A., Ransohoff D. F. The natural history of silent gallstones. N. Engl. J. Med. 1982;307(13):798-800. https://doi.org/10.1056/NEJM198209233071305
6. Epelboym I., Winner M., Allendorf J. D. MRCP is not a costeffective strategy in the management of silent common bile duct stones. J. Gastrointest. Surg. 2013;17(5):863-871. https://doi.org/10.1007/s11605-013-2179-4
7. Williams E. J., Green J., Beckingham I., Parks R., Martin D., Lombard M. Guidelines on the management of common bile duct stones (CBDS). Gut. 2008;57(7):1004-1021. https://doi.org/10.1136/gut.2007.121657
8. Coelho-Prabhu N., Shah N. D., Van Houten H., Kamath P. S., Baron T. H. Endoscopic retrograde cholangiopancreatography: utilisation and outcomes in a 10-year population-based cohort. BMJ Open. 2013;3(5). https://doi.org/10.1136/bmjopen-2013-002689
9. Anderson M. A., Fisher L., Jain R. [et al.]. Complications of ERCP. Gastrointest. Endosc. 2012;75(3):467-473. https://doi.org/10.1016/j.gie.2011.07.010
10. Giljaca V., Gurusamy K. S., Takwoingi Y. [et al.]. Endoscopic ultrasound versus magnetic resonance cholangiopancreatography for common bile duct stones. Cochrane Database Syst. Rev. 2015;2:CD011549. https://doi.org/10.1002/14651858.CD011549
11. O’Neill D. E. R., Saunders M. D. Endoscopic ultrasonography in diseases of the gallbladder. Gastroenterol. Clin. North Am. 2010;39(2):289-305. https://doi.org/10.1016/j.gtc.2010.03.001
12. Videhult P., Sandblom G., Rasmussen I. C. How reliable is intraoperative cholangiography as a method for detecting common bile duct stones? : a prospective population-based study on 1171 patients. Surg. Endosc. 2009;23(2):304-312. https://doi.org/10.1007/s00464-008-9883-2
13. Buxbaum J. Modern management of common bile duct stones. Gastrointest. Endosc. Clin. N. Am. 2013;23(2):251-275. https://doi.org/10.1016/j.giec.2012.12.003
14. De Palma G. D. Minimally invasive treatment of cholecystocholedocal lithiasis: the point of view of the surgical endoscopist. World J. Gastrointest. Surg. 2013;5(6):161-166. https://doi.org/10.4240/wjgs.v5.i6.161
15. Almadi M. A., Barkun J. S., Barkun A. N. Management of suspected stones in the common bile duct. CMAJ. 2012;184(8):884-892. https://doi.org/10.1503/cmaj.110896
16. Li M., Tang C., Lai E. Managing concomitant gallbladder stones and common bile duct stones in the laparoscopic era: a systematic review. Asian J. Endosc. Surg. 2011;4(2):53-58. https://doi.org/10.1111/j.1758-5910.2011.00073.x
17. Lahmann B. E., Adrales G., Schwartz R. W. Choledocholithiasis – principles of diagnosis and management. Curr. Surg. 2004;61(3):290-293. https://doi.org/10.1016/j.cursur.2003.07.014
18. Maple J. T., Ben-Menachem T., Anderson M. A. [et al.]. The role of endoscopy in the evaluation of suspected choledocholithiasis. Gastrointest. Endosc. 2010;71(1):1-9. https://doi.org/10.1016/j.gie.2009.09.041
19. Maple J. T., Ikenberry S. O., Anderson M. A. [et al.]. The role of endoscopy in the management of choledocholithiasis. Gastrointest. Endosc. 2011;74(4):731-744. https://doi.org/10.1016/j.gie.2011.04.012
20. Anderloni A., Ballarè M., Pagliarulo M. [et al.]. Prospective evaluation of early endoscopic ultrasonography for triage in suspected choledocholithiasis: results from a large single centre series. Dig. Liver Dis. 2014;46(4):335-339. https://doi.org/10.1016/j.dld.2013.11.007
21. Lee Y. T., Chan F. K. L., Leung W. K. [et al.]. Comparison of EUS and ERCP in the investigation with suspected biliary obstruction caused by choledocholithiasis: a randomized study. Gastrointest. Endosc. 2008;67(4):660-668. https://doi.org/10.1016/j.gie.2007.07.025
22. Jovanovic P., Salkic N. N., Zerem E. Artificial neural network predicts the need for therapeutic ERCP in patients with suspected choledocholithiasis. Gastrointest. Endosc. 2014;80(2):260-268. https://doi.org/10.1016/j.gie.2014.01.023

Keywords: choledocholithiasis, gallstone disease, predictors, diagnostic algorithm