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A simple scoring system for predicting bile duct stones in patients with cholelithiasis

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Journal of Gastrointestinal Surgery

Abstract

A means of accurately predicting the presence of stones in the bile duct in patients undergoing laparoscopic cholecystectomy for gallbladder stones is lacking. With the use of a three-stage analysis, a predictive score was developed from seven common parameters. Initially the score was formulated by using data from a retrospective series of patients undergoing laparoscopic cholecystectomy; the system was then tested prospectively over a l-year period in patients undergoing laparoscopic cholecystectomy for gallbladder stones. This simple scoring system demonstrated an ability to predict bile duct stones with a sensitivity in excess of 70%. The use of such a score may allow the development of preoperative strategies for treating patients undergoing laparoscopic cholecystectomy.

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Authors and Affiliations

  1. Department of General and Digestive Surgery, Flinders Medical Centre, Bedford Park, 5042, Adelaide, S A, Australia

    Hatem M. Soltan M.B.B.S., Lilian Kow B.M.B.S., Ph.D., F.R.A.C.S. & James Toouli M.B.B.S., Ph.D., F.R.A.C.S.

Authors
  1. Hatem M. Soltan M.B.B.S.
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  2. Lilian Kow B.M.B.S., Ph.D., F.R.A.C.S.
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  3. James Toouli M.B.B.S., Ph.D., F.R.A.C.S.
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Corresponding author

Correspondence to James Toouli M.B.B.S., Ph.D., F.R.A.C.S..

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Soltan, H.M., Kow, L. & Toouli, J. A simple scoring system for predicting bile duct stones in patients with cholelithiasis. J Gastrointest Surg 5, 434–437 (2001). https://doi.org/10.1016/S1091-255X(01)80073-1

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  • DOI: https://doi.org/10.1016/S1091-255X(01)80073-1

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