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Volume 3, Issue 1
  • ISSN: 2666-2906
  • E-ISSN: 2666-2914

Abstract

Background

Choledocholithiasis is defined as the presence of calculus in the biliary tract, and is one of the main complications of cholelithiasis. Its prevalence among the Mexican population is 14%.

Objective

To determine the validity of predictors of choledocholithiasis in patients attending the Hospital Agustin O’Horan from January 2019 to December 2020.

Methods

This was an observational, analytical, and retrospective study. It included patients with a diagnosis of choledocholithiasis, and it evaluated the sensitivity, specificity, as well as positive and negative predictive values for risk criteria of the American Society for Gastrointestinal Endoscopy (ASGE)

Results

Ninety-six medical histories were analyzed. Ninety were from women and six from males (94% and 6% respectively), and the average age was 40 years. The registry shows an increase of serum ALP, AST, and ALT in 98% of the reports, and elevated levels of bilirubin in 19% by 1.3-4 mg/dl, and 76% by >4 mg/dl of them. Moreover, the records showed pancreatitis and cholangitis (8% each one). The ultrasound reports indicates that 96% of the patients had a choledochal cyst higher than 5 mm, while 54% had a choledochal litho. Sensitivity and specificity of ASGE criteria for the diagnosis of choledocholithiasis was 96.6% and 45.5% respectively, and a Positive Predictive Value of 16% and a Negative Predictive Value of 99%.

Conclusion

It is considered that the diagnostic accuracy test of the ASGE criteria for the diagnosis of choledocholithiasis is high.

© 2024 Bentham Science Publishers
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2024-04-16
2025-03-13

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ASGE Predictors for the Diagnosis of Choledocholithiasis: Validation in a Public Hospital of Merida, Yucatan, México
Int J Gastroenterol Hepatol Dis 3, E160424228961 (2024); https://doi.org/10.2174/0126662906283553240404053631
/content/journals/ijghd/10.2174/0126662906283553240404053631
/content/journals/ijghd/10.2174/0126662906283553240404053631
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  • Article Type:     Research Article
Keyword(s): ASGE predictors; bile duct; calculus; choledocholithiasis; choledochotomy; ultrasound

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