Document Detail

Selective contraindications based on multivariate analysis for operative cholangiography in biliary lithiasis.
MedLine Citation:
PMID:  2035137     Owner:  NLM     Status:  MEDLINE    
This study was done to select patients with a low risk of common bile duct (CBD) stones in whom operative cholangiography could be avoided. Operative cholangiography was performed upon 511 patients. Two different groups of patients were identified--patients with CBD stones visualized by CBD exploration (n = 90) and patients with no CBD stones at the time of operative cholangiography (n = 421). Multivariate analysis (stepwise logistic regression) showed that five variables were correlated with the presence of CBD stones--size of CBD equal to or greater than 12 millimeters, gallstones equal to or less than 10 millimeters, advanced age, chronic or acute cholecystitis and past history of biliary colic. Using a scoring system, a group of patients with a low risk (less than 2 percent) of CBD stones could be easily determined. In this group of patients, operative cholangiography may be avoided.
M Huguier; P Bornet; Y Charpak; S Houry; C Chastang
Related Documents :
10594197 - Altered bile composition in the gallbladder and common bile duct of patients with anoma...
2604347 - Endoscopic sphincterotomy for bile duct stones: an institutional review of 272 patients.
3890487 - Sonography vs. excretory urography in acute flank pain.
19568577 - Biliary ascariasis in the indian subcontinent: a study of 42 cases.
2670467 - Determination of auto-peep during spontaneous and controlled ventilation by monitoring ...
1203857 - Cea levels in patients with colorectal polyps.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Surgery, gynecology & obstetrics     Volume:  172     ISSN:  0039-6087     ISO Abbreviation:  Surg Gynecol Obstet     Publication Date:  1991 Jun 
Date Detail:
Created Date:  1991-06-26     Completed Date:  1991-06-26     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0101370     Medline TA:  Surg Gynecol Obstet     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  470-4     Citation Subset:  AIM; IM    
Department of Digestive Surgery, Hospital Tenon, University of Paris VI.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cholangiography / contraindications*,  methods,  statistics & numerical data
Cholelithiasis / complications,  surgery*
False Positive Reactions
Gallstones / complications,  radiography,  surgery,  ultrasonography
Intraoperative Care / methods*
Middle Aged
Multivariate Analysis
Retrospective Studies
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Bleeding after endoscopic sphincterotomy as an underestimated entity.
Next Document:  Observations and current operative management of congenital lumbar hernias during infancy.