Predictive factors for synchronous common bile duct stone in patients with symptomatic cholelithiasis.

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dc.contributor.authorCharatcharoenwitthaya, Phunchaien_US
dc.contributor.authorSattawatthamrong, Yudhtanaen_US
dc.contributor.authorManatsathit, Sathapornen_US
dc.contributor.authorTanwandee, Tawesaken_US
dc.contributor.authorLeelakusolvong, Somchaien_US
dc.contributor.authorKachintorn, Udomen_US
dc.contributor.authorLeungrojanakul, Pairojen_US
dc.contributor.authorBoonyapisit, Sasiprapaen_US
dc.contributor.authorPongprasobchai, Supoten_US
dc.date.accessioned2009-05-27T20:13:17Z
dc.date.available2009-05-27T20:13:17Z
dc.date.issued2004-02-06en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractBACKGROUND: Laparoscopic cholecystectomy (LC) has become the treatment of choice for patients with symptomatic cholelithiasis. About 8-15 per cent of patients with symptomatic gallstones may bear associated common bile duct (CBD) stones, The management of choledocholithiasis in the laparoscopic era remain debatable. Although pre-operative endoscopic cholangiopancreatography (ERCP) is available and highly accurate in the detection of CBD stones, its routine use is controversial because of its inherent disadvantages. OBJECTIVE: The aim of this retrospective study was to generate an effective predictive model for bile duct stones detection by pre-operative ERCP. METHOD: Twelve pre-operative clinical, biochemical and sonographic variables from 206 consecutive patients who underwent pre-operative ERCP with LC for gallstones with/without CBD stones from October 1998 to December 2000 were retrospectively analysed RESULTS: 143 of the 206 patients with gallstones were found to have CBD stones. The mean age was 61 (20-93) yr old, and 55.9 per cent were female. Multivariate analysis showed a high predictive value for the presence of CBD stones in patients aged > or = 55 yr old (Odd radio (OR) 1.03, 95% confidence interval (95% CI) 1.01-1.05), jaundice (OR 2.7, 95% CI 1.7-4.8), elevated alkaline phosphatase (OR 1.002, 95% CI 1.000-1.005), CBD dilatation on ultrasound (OR 3.8, 95% CI 1.8-8) and CBD stone on ultrasound. CONCLUSION: The important clinical presentations and investigating could allow more appropriate use of pre-operative ERCP in patients who have symptomatic gallstones with a suspected CBD stone prior to cholecystectomy.en_US
dc.description.affiliationDivision of Gastroenterology, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.en_US
dc.identifier.citationCharatcharoenwitthaya P, Sattawatthamrong Y, Manatsathit S, Tanwandee T, Leelakusolvong S, Kachintorn U, Leungrojanakul P, Boonyapisit S, Pongprasobchai S. Predictive factors for synchronous common bile duct stone in patients with symptomatic cholelithiasis. Journal of the Medical Association of Thailand. 2004 Feb; 87(2): 131-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/42595
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdulten_US
dc.subject.meshAge Distributionen_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshAnalysis of Varianceen_US
dc.subject.meshCholangiopancreatography, Endoscopic Retrograde --methodsen_US
dc.subject.meshCholecystectomy, Laparoscopic --methodsen_US
dc.subject.meshCholedocholithiasis --epidemiologyen_US
dc.subject.meshCholelithiasis --epidemiologyen_US
dc.subject.meshCohort Studiesen_US
dc.subject.meshComorbidityen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshIncidenceen_US
dc.subject.meshLogistic Modelsen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshMultivariate Analysisen_US
dc.subject.meshPredictive Value of Testsen_US
dc.subject.meshPreoperative Care --methodsen_US
dc.subject.meshProbabilityen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRisk Assessmenten_US
dc.subject.meshSeverity of Illness Indexen_US
dc.subject.meshSex Distributionen_US
dc.subject.meshThailand --epidemiologyen_US
dc.subject.meshTreatment Outcomeen_US
dc.titlePredictive factors for synchronous common bile duct stone in patients with symptomatic cholelithiasis.en_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
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