The role of endoscopic ultrasound in patients with choledocholithiasis: A pilot study | ||||
Medical Journal of Viral Hepatitis | ||||
Article 6, Volume 4.2, Issue 2, March 2020, Page 81-86 PDF (223.24 K) | ||||
Document Type: Original article | ||||
DOI: 10.21608/mjvh.2020.80662 | ||||
View on SCiNiTO | ||||
Authors | ||||
Ahmed Ibrahim Alhawarey1; Elalfy Hatem2; Soliman Gamal3; Okasha Hussein4; El-bendary Mahmoud2 | ||||
1Tropical medicine department, Faculty of Medicine,Mansoura University | ||||
2Tropical Medicine dept., Faculty of Medicine, Mansoura Univ., Mansoura, Egypt | ||||
3Tropical Medicine dept., Faculty of Medicine, Al Azhar Univ., Cairo, Egypt | ||||
4Internal Medicine dept., Faculty of Medicine, Cairo Univ., Cairo, Egypt | ||||
Abstract | ||||
Background and study aim. Endoscopic ultrasound (EUS) is a diagnostic modality that continues to expand its clinical applications. The aim of this study is to evaluate the diagnostic role of EUS in common bile duct stones. Patients and methods: This study was carried on 29 patients with suspected CBD stones from them only 15 patients were diagnosed as Common Bile Duct stone(s). Endoscopic retrograde cholangiopancreatography (ERCP) is considered as gold standard for diagnosis of CBD stones and compare EUS findings with that of ERCP. Results: The diagnostic performance of EUS shows that the sensitivity, specificity, PPV, NPV and accuracy of 100%, 92.8%, 93.7%, 100% and 96.5% respectively. It can catch 15 true positive cases with only one false positive case and 13 of 14 true negative cases. EUS is considered as a minimally invasive method with low incidence of complications, allowing exact determination of the site and size of stones. So EUS aid in better planning for CBD stone removal. Conclusion: EUS is considered as a minimally invasive method with low incidence of complications, allowing exact determination of the site and size of stones with good diagnostic performance. | ||||
Keywords | ||||
Endoscopic ultrasound; Common bile duct stones; Endoscopic retrograde cholangiopancreatography | ||||
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