Endoscopic ultrasound (EUS) has excellent overall sensitivity (94 %) and specificity (95 %) for the diagnosis of choledocholithiasis [1]. EUS is also very accurate in the diagnosis of common bile duct (CBD) sludge, with a sensitivity up to 90 % and specificity of 97 % (personal data). By performing EUS first in patients with suspected CBD stones, endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy (EST) may be safely avoided in two-thirds of the cases. On the other hand, ERCP with EST is appropriate when the presence of CBD stones has been documented by EUS. As a result, a EUS-based selection of patients for therapeutic ERCP significantly reduces complication rates [2, 3]. The American Society of Gastrointestinal Endoscopy...
Fusaroli P, Caletti G (2014). Intraductal ultrasound for high-risk patients: when will the last be first?. DIGESTIVE DISEASES AND SCIENCES, 59, 1676-1678 [10.1007/s10620-014-3226-z].
Intraductal ultrasound for high-risk patients: when will the last be first?
FUSAROLI, PIETRO;CALETTI, GIANCARLO
2014
Abstract
Endoscopic ultrasound (EUS) has excellent overall sensitivity (94 %) and specificity (95 %) for the diagnosis of choledocholithiasis [1]. EUS is also very accurate in the diagnosis of common bile duct (CBD) sludge, with a sensitivity up to 90 % and specificity of 97 % (personal data). By performing EUS first in patients with suspected CBD stones, endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy (EST) may be safely avoided in two-thirds of the cases. On the other hand, ERCP with EST is appropriate when the presence of CBD stones has been documented by EUS. As a result, a EUS-based selection of patients for therapeutic ERCP significantly reduces complication rates [2, 3]. The American Society of Gastrointestinal Endoscopy...I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
