Endoscopic ultrasonography versus other diagnostic modalities in the diagnosis of choledocholithiasis

被引：23
|
作者：
Sgouros, Spiros N. [1 ]
Bergele, Christina [1 ]
机构：
[1] Athens Naval & Vet Hosp, Dept Gastroenterol, GR-15341 Athens, Greece
来源：
DIGESTIVE DISEASES AND SCIENCES | 2006年 / 51卷 / 12期
关键词：
endoscopic ultrasonography; choledocholithiasis; biliary pancreatitis;
D O I：
10.1007/s10620-006-9218-x
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Until recently, endoscopic retrograde cholangiopancreatography (ERCP) has been considered the gold standard for the diagnosis of and therapy in patients with suspected choledocholithiasis. However, the non-negligible complication rate of diagnostic and therapeutic ERCP has led investigators to identify different noninvasive diagnostic modalities. Endoscopic ultrasonography has been proved to be of great sensitivity (up to 97%) in the diagnosis of even tiny stones that can be easily masked by contrast medium during ERCP, without any procedure-related complications and with a negative predictive value reaching 100%, meaning that it can accurately and safely identify patients with choledocholithiasis, thereby avoiding inappropriate instrumental exploration of the common bile duct.
引用
收藏
页码：2280 / 2286
页数：7
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