Document Detail


Selective contraindications based on multivariate analysis for operative cholangiography in biliary lithiasis.
MedLine Citation:
PMID:  2035137     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
M Huguier; P Bornet; Y Charpak; S Houry; C Chastang
Related Documents :
3890487 - Sonography vs. excretory urography in acute flank pain.
1275137 - The urgency of diagnosis and surgical treatment of acute suppurative cholangitis.
2892457 - Long term follow-up of patients with side to side choledochoduodenostomy and transduode...
10670857 - The efficacy of magnetic resonance cholangiography for the evaluation of patients with ...
8507227 - Serum amyloid p component scintigraphy and turnover studies for diagnosis and quantitat...
998167 - Dementia in parkinson's disease.
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    
Affiliation:
Department of Digestive Surgery, Hospital Tenon, University of Paris VI.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cholangiography / contraindications*,  methods,  statistics & numerical data
Cholecystectomy
Cholelithiasis / complications,  surgery*
False Positive Reactions
Female
Gallstones / complications,  radiography,  surgery,  ultrasonography
Humans
Intraoperative Care / methods*
Male
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.