Prospective controlled study of endoscopic ultrasonography and endoscopic retrograde cholangiography in patients with suspected common-bileduct lithiasis

Prat, Frédéric; Amouyal, Gilles; Amouyal, Paul; Pelletier, G; Fritsch, Jacques; Choury, André-Daniel; Buffet, Catherine; Etienne, J. P.

doi:10.1016/s0140-6736(96)90208-1

Cited by 280 publications

(144 citation statements)

References 20 publications

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“…EUS has been shown to have excellent sensitivity (84%-100%) and specificity (90%-100%) in a number of prospective trials (11)(12)(13)(20)(21)(22)(23). In our study, EUS demonstrated 100% sensitivity and 84% specificity, with a 100% negative predictive value.…”

Section: Discussionsupporting

confidence: 52%

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Usefulness of Endoscopic Ultrasound in Patients at High Risk of Choledocholithiasis

Dittrick

Lamont²,

Kuhn³

et al. 2005

Baylor University Medical Center Proceedings

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Background: Endoscopic retrograde cholangiopancreatography (ERCP) has been considered the nonsurgical gold standard for the diagnosis and treatment of choledocholithiasis (CDL). Complications include a 0.1% to 1.3% mortality rate and a 5% to 19% morbidity rate, including a reported 1.8% to 6.7% incidence of postprocedure pancreatitis. Twenty-seven percent to 67% of ERCPs done for suspected choledocholithiasis ultimately have negative results. Endoscopic ultrasound (EUS) has been proposed as an alternate means of diagnosing choledocholithiasis that may eliminate the need for ERCP and its associated morbidities in certain patients. Methods: Retrospective chart review identified 30 patients who underwent EUS with or without ERCP for suspected choledocholithiasis. Reports of all procedures performed were obtained and data were collected on all biliary abnormalities identified on both EUS and ERCP. Results: Pancreaticobiliary abnormalities were identified in 27 of 30 pa-

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Section: Discussionsupporting

confidence: 52%

“…ERCP carries an associated 0.1% to 1.3% mortality rate and 5% to 19% morbidity rate (1-3), including a reported 1.8% to 6.7% incidence of pancreatitis (1,(3)(4)(5). Furthermore, of all ERCPs done for suspected CDL, 27% to 66% result in a normal examination with no stones identified (2,(6)(7)(8)(9)(10)(11)(12)(13).…”

mentioning

confidence: 99%

Usefulness of Endoscopic Ultrasound in Patients at High Risk of Choledocholithiasis

Dittrick

Lamont²,

Kuhn³

et al. 2005

Baylor University Medical Center Proceedings

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“…Gallstones can be documented within the common bile duct with accuracy similar to ERCP by EUS (39,205,(207)(208)(209)(210)(211)(212)(213)(214)(215)(216)(217)(218)(219)(220)(221)(222)(223)(224)(225)(226), with somewhat lower accuracy by MRCP (227)(228)(229)(230)(231)(232)(233), and by intraoperative cholangiography at the time of laparoscopic cholecystectomy (234)(235)(236)(237). Identification of a biliary etiology of acute pancreatitis is important because recurrent episodes will occur in one-third to two-thirds of these patients in follow-up periods of as short as 3 months unless gallstones are eliminated (238,239).…”

Section: Treatment Guideline Vii: Role Of Ercp and Biliary Sphincteromentioning

confidence: 99%

Practice Guidelines in Acute Pancreatitis

Banks

Freeman

2006

Am J Gastroenterology

1,677

980

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“…For low-risk patients the one-step laparoscopic treatment has progressively been incorporated into clinical practice. Furthermore, the use of biliary endoprosthesis after bile duct laparoscopic exploration may be a safe and effective alternative as compared with the implantation of a Kehr tube (Low quality evidence) (Smith, 1997;Joyce, 1991;Prat, 1996;Costi, 2007;Trondsen, 1998;Liu, 2001;Cuschieri, 1999;Wei, 2003;Gurusamy, 2007;Griniatsos, 2005;KimK, 2004;Lien, 2005;Decker, 2003;Fanelli, 2001).…”

Section: Discussionmentioning

confidence: 99%

“…CBDL treatment has mainly been undertaken by endoscopy prior to LC. This strategy appears to resolve CBDL in most cases but is likely to find no evidence of the presence of a stone in 20-60% of patients and is associated with a considerable morbidity risk (Paganini, 2007;Smith, 1997;Joyce, 1991;Prat, 1996;Costi, 2007;Trondsen, 1998).…”

Section: Effectiveness Of Laparoscopic Treatment For Common Bile Ductmentioning

confidence: 99%

Effectiveness of Laparoscopic Surgery for Gallstones and Common Bile Duct Lithiasis: a Systematic Overview

et al. 2010

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SUMMARY:The aim of the present study was to evaluate the available evidence on the effectiveness of laparoscopic surgery for treating gallstones and common bile duct lithiasis (CBDL). A systematic overview was performed. Medline, EMBASE and The Cochrane Library were searched (1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008). Systematic reviews (SR), clinical practice guidelines (CPG), randomised clinical trials (RCT) and observational studies were included. Internal validity and overall quality of the evidence were assessed. The available evidence was classified according to the Oxford Centre for Evidence Based Medicine proposal. 87 studies were included in this review (12 SR, 23 RCT, 3 CPG, 13 cohort studies, 3 cross-sectional studies, 2 case and control studies and 31 case series). Compared with open cholecystectomy, laparoscopic cholecystectomy (LC) is associated with shorter operating time, shorter hospital stay and better quality of life (high quality evidence). The use of antibiotic prophylaxis does not appear to reduce the infection rate in low-risk patients (high quality evidence). Although many techniques have been advocated to perform LC their effectiveness is as yet inconclusive (low-quality evidence). Two-stage surgery is the most appropriate strategy for high-risk patients with CBDL (high-quality evidence). Mortality is similar to open surgery, as the effectiveness is similar to that of endoscopic treatment (high-quality evidence). As a conclusion we can state that the evidence concerning the effectiveness of laparoscopic surgery for gallstones and CBDL is scarce and of low methodological quality and that better quality studies are warranted to assess these techniques more adequately.

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Prospective controlled study of endoscopic ultrasonography and endoscopic retrograde cholangiography in patients with suspected common-bileduct lithiasis

Cited by 280 publications

References 20 publications

Usefulness of Endoscopic Ultrasound in Patients at High Risk of Choledocholithiasis

Usefulness of Endoscopic Ultrasound in Patients at High Risk of Choledocholithiasis

Practice Guidelines in Acute Pancreatitis

Effectiveness of Laparoscopic Surgery for Gallstones and Common Bile Duct Lithiasis: a Systematic Overview

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