Predictive factors of spontaneous common bile duct clearance and unnecessary ERCP in patients with choledocholithiasis
The size of the largest stone at diagnosis was validated as a predictor of CBD stones' spontaneous migration. Furthermore, two new predictors were identified: bilirubin levels pre-ERCP ≤ 2 mg/dL, and no acute cholangitis at the clinical presentation of choledocholithiasis. EUS and ERCP in the same session should be considered in patients with factors predictive of stone migration, especially when combined, to minimize unnecessary ERCP and possible complications.
Authors
- Jorge Canena (ORCID: https://orcid.org/0000-0002-2539-5876)
- J Branco (ORCID: https://orcid.org/0009-0000-8650-3212)
- Gonçalo Alexandrino (ORCID: https://orcid.org/0000-0002-1931-948X)
- F. Pereira Correia (ORCID: https://orcid.org/0000-0001-6395-3405)
- Luís Carvalho Lourenço (ORCID: https://orcid.org/0000-0002-2643-9359)
- Mónica Francisco
- Henrique Coelho
- David Horta
Institutions
- Hospital Prof. Dr. Fernando Fonseca (PT)
Publication Details
- Journal
- Clinics and Research in Hepatology and Gastroenterology
- Published
- 2024-12-13
- DOI
- https://doi.org/10.1016/j.clinre.2024.102515
- Citations
- 5
- Primary Topic
- Gallbladder and Bile Duct Disorders
- Type
- article
- Field-Weighted Citation Impact
- 2.09