PARAMETERS FOR SELECTIVE INTRAOPERATIVE CHOLANGIOGRAPHY IN THE DIAGNOSIS OF COMMON BILE DUCT STONES
In patients with gall bladder calculosis, the complication as common bile duct stones (CBDS) occurs in 10%-12% of cases and represents a serious disease which has to be recognized and treated in time. Diagnostic procedure that verifies the presence of CBDS is intraoperative cholangiography (IOC). De...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
University in Nis, Faculty of Medicine
2015-09-01
|
| Series: | Acta Medica Medianae |
| Subjects: | |
| Online Access: | http://publisher.medfak.ni.ac.rs/2015-html/2015%203-broj/Celi%20radovi%20pdf%202015-3/Ljiljana%20Jeremic%20Savic.pdf |
| _version_ | 1818791713678819328 |
|---|---|
| author | Ljiljana Jeremić-Savić Milan Radojković Slobodan Aranđelovć |
| author_facet | Ljiljana Jeremić-Savić Milan Radojković Slobodan Aranđelovć |
| author_sort | Ljiljana Jeremić-Savić |
| collection | DOAJ |
| description | In patients with gall bladder calculosis, the complication as common bile duct stones (CBDS) occurs in 10%-12% of cases and represents a serious disease which has to be recognized and treated in time. Diagnostic procedure that verifies the presence of CBDS is intraoperative cholangiography (IOC). Despite simplicity and safety of this method, solving technical and organizational details before its usage is required, and some percentage of failure and complications tend to occur. Hence, there is still a controversy whether this procedure should be used non-selectively or selectively. The aim of our study was to examine in which cases of gall bladder calculosis IOC has to be used. In a retrospective study, 150 patients operated for CBDS were analyzed. We formed a simple and unique scoring system with five parameters for prediction of this disease: diameter of common bile duct >8 mm, gall bladder calculosis <5 mm, high serum level of bilirubin, elevated levels of ALP and ALT in serum. The value of scoring system was confirmed in a prospective group of 100 patients, operated for gall bladder calculosis and subjected to IOC. After scoring, all patients were divided into three risk groups for CBDS presence: low, medium and high. Comparison of results for suspected CBDS (confirmed by scoring) and existing CBDS (confirmed by IOC) has demonstrated a high level of scoring system precision and its practical usage value in the election of patients with gall bladder calculosis who need IOC. |
| first_indexed | 2024-12-18T15:15:44Z |
| format | Article |
| id | doaj.art-e6145cd9954a46f39bfda257518bf193 |
| institution | Directory Open Access Journal |
| issn | 0365-4478 1821-2794 |
| language | English |
| last_indexed | 2024-12-18T15:15:44Z |
| publishDate | 2015-09-01 |
| publisher | University in Nis, Faculty of Medicine |
| record_format | Article |
| series | Acta Medica Medianae |
| spelling | doaj.art-e6145cd9954a46f39bfda257518bf1932022-12-21T21:03:32ZengUniversity in Nis, Faculty of MedicineActa Medica Medianae0365-44781821-27942015-09-01543192610.5633/amm.2015.0303PARAMETERS FOR SELECTIVE INTRAOPERATIVE CHOLANGIOGRAPHY IN THE DIAGNOSIS OF COMMON BILE DUCT STONESLjiljana Jeremić-Savić0Milan Radojković1Slobodan Aranđelovć2University of Niš, Faculty of Medicine, Niš, Serbia; General Surgery Clinic, Clinical Center Niš, SerbiaUniversity of Niš, Faculty of Medicine, Niš, Serbia; General Surgery Clinic, Clinical Center Niš, SerbiaFaculty of Medicine in Priština, Kosovska Mitrovica, SerbiaIn patients with gall bladder calculosis, the complication as common bile duct stones (CBDS) occurs in 10%-12% of cases and represents a serious disease which has to be recognized and treated in time. Diagnostic procedure that verifies the presence of CBDS is intraoperative cholangiography (IOC). Despite simplicity and safety of this method, solving technical and organizational details before its usage is required, and some percentage of failure and complications tend to occur. Hence, there is still a controversy whether this procedure should be used non-selectively or selectively. The aim of our study was to examine in which cases of gall bladder calculosis IOC has to be used. In a retrospective study, 150 patients operated for CBDS were analyzed. We formed a simple and unique scoring system with five parameters for prediction of this disease: diameter of common bile duct >8 mm, gall bladder calculosis <5 mm, high serum level of bilirubin, elevated levels of ALP and ALT in serum. The value of scoring system was confirmed in a prospective group of 100 patients, operated for gall bladder calculosis and subjected to IOC. After scoring, all patients were divided into three risk groups for CBDS presence: low, medium and high. Comparison of results for suspected CBDS (confirmed by scoring) and existing CBDS (confirmed by IOC) has demonstrated a high level of scoring system precision and its practical usage value in the election of patients with gall bladder calculosis who need IOC.http://publisher.medfak.ni.ac.rs/2015-html/2015%203-broj/Celi%20radovi%20pdf%202015-3/Ljiljana%20Jeremic%20Savic.pdfhepato-choledocholithiasisintraoperative cholangiographyscoring system |
| spellingShingle | Ljiljana Jeremić-Savić Milan Radojković Slobodan Aranđelovć PARAMETERS FOR SELECTIVE INTRAOPERATIVE CHOLANGIOGRAPHY IN THE DIAGNOSIS OF COMMON BILE DUCT STONES Acta Medica Medianae hepato-choledocholithiasis intraoperative cholangiography scoring system |
| title | PARAMETERS FOR SELECTIVE INTRAOPERATIVE CHOLANGIOGRAPHY IN THE DIAGNOSIS OF COMMON BILE DUCT STONES |
| title_full | PARAMETERS FOR SELECTIVE INTRAOPERATIVE CHOLANGIOGRAPHY IN THE DIAGNOSIS OF COMMON BILE DUCT STONES |
| title_fullStr | PARAMETERS FOR SELECTIVE INTRAOPERATIVE CHOLANGIOGRAPHY IN THE DIAGNOSIS OF COMMON BILE DUCT STONES |
| title_full_unstemmed | PARAMETERS FOR SELECTIVE INTRAOPERATIVE CHOLANGIOGRAPHY IN THE DIAGNOSIS OF COMMON BILE DUCT STONES |
| title_short | PARAMETERS FOR SELECTIVE INTRAOPERATIVE CHOLANGIOGRAPHY IN THE DIAGNOSIS OF COMMON BILE DUCT STONES |
| title_sort | parameters for selective intraoperative cholangiography in the diagnosis of common bile duct stones |
| topic | hepato-choledocholithiasis intraoperative cholangiography scoring system |
| url | http://publisher.medfak.ni.ac.rs/2015-html/2015%203-broj/Celi%20radovi%20pdf%202015-3/Ljiljana%20Jeremic%20Savic.pdf |
| work_keys_str_mv | AT ljiljanajeremicsavic parametersforselectiveintraoperativecholangiographyinthediagnosisofcommonbileductstones AT milanradojkovic parametersforselectiveintraoperativecholangiographyinthediagnosisofcommonbileductstones AT slobodanaranđelovc parametersforselectiveintraoperativecholangiographyinthediagnosisofcommonbileductstones |