Predicting common bile duct stones: Comparison of SAGES, ASGE and ESGE criteria for accuracy

Abstract

Objective: To determine accuracy of SAGES, ASGE and ESGE criteria for predicting presence of common bile duct (CBD) stones.
 Methods: In a prospective study at Jinnah Hospital Lahore from March 2021 to February 2022, patients with suspected CBD stone were stratified in High risk (HR), intermediate risk (IR) and low risk (LR) for SAGES, ASGE and ESGE criteria. All patients underwent ERCP and risk strata were analyzed using SPSS 22® for sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy.
 Results: In 90 patients with mean age 45.18(±14.87) and male/female ratio 0.64(35/55), area Under Curve (AUC) for predicting CBD stones was 0.75, 0.81and 0.83 for HR and 0.28, 0.52 and 0.52 for IR group while it was 0.53, 0.81 and 0.53 for absence of stone in LR group of SAGES, ASGE and ESGE criteria respectively. HR groups had accuracy of 81.1%, 86.7% and 87.8% in predicting CBD stone while LR criteria had 68.8%, 86.7% and 68.1% accuracy in predicting absence of CBD stone for SAGES, ASGE and ESGE respectively.
 Conclusion: HR strata of SAGES, ASGE and ESGE scores have excellent accuracy in predicting CBD stones whereas IR and LR criteria are suboptimal for excluding CBD stones.
 doi: https://doi.org/10.12669/pjms.38.8.6666
 How to cite this:Yousaf MN, Mahmud Y, Sarwar S, Ahmad MN, Ahmad M, Abbas G. Predicting common bile duct stones: Comparison of SAGES, ASGE and ESGE criteria for accuracy. Pak J Med Sci. 2022;38(8):---------. doi: https://doi.org/10.12669/pjms.38.8.6666
 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Diagnostic Accuracy of Transabdominal Ultrasound (TAUS) in Detection of the Common Bile Duct Stone in Suspected Patients Taking Intra-Operative Findings as Gold Standard

“…In line with previous studies, the current study, published in PJMA, included 144 patients with CBD stones, of which 46.53% were males and 53.47% were females. 22 The study found that transabdominal ultrasound (TAUS) demonstrated a sensitivity of 82.69%, specificity of 92.39%, positive predictive value (PPV) of 86%, and negative predictive value (NPV) of 90.43%. These values were higher compared to similar studies, indicating the superior diagnostic accuracy of TAUS in detecting CBD stones.…”

Surgical strategies for challenging common bile duct stones in the endoscopic era: A comprehensive review of current evidence

“…Synchronous common bile duct stone (CBDS) or choledocholithiasis affects approximately 10%-20% of patients with gallstone (GS), a condition known as cholecystolithiasis or cholelithiasis[ 1 , 2 ]. This prevalence is attributed to advanced diagnostic modalities such as endoscopic ultrasonography (EUS) and magnetic resonance cholangiopancreatography[ 2 , 3 ].…”