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Liver function tests as predictors of common bile duct stones in acute cholecystitis patients with a chronic history: A retrospective cohort study on the ACS-NSQIP database

Liver function tests (LFTs) use for common bile duct stone (CBDS) prediction in acute cholecystitis (AC) patients is challenging, especially in patients with chronic cholecystitis (CC) history. This study aims to describe characteristics of AC patients with CC history and assess LFTs’ utility for CB...

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Autores principales: Zgheib, Hady, Wakil, Cynthia, Al Souky, Nader, Mailhac, Aurelie, Jamali, Faek, El Sayed, Mazen, Tamim, Hani
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8376302/
https://www.ncbi.nlm.nih.gov/pubmed/34414941
http://dx.doi.org/10.1097/MD.0000000000026885
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author Zgheib, Hady
Wakil, Cynthia
Al Souky, Nader
Mailhac, Aurelie
Jamali, Faek
El Sayed, Mazen
Tamim, Hani
author_facet Zgheib, Hady
Wakil, Cynthia
Al Souky, Nader
Mailhac, Aurelie
Jamali, Faek
El Sayed, Mazen
Tamim, Hani
author_sort Zgheib, Hady
collection PubMed
description Liver function tests (LFTs) use for common bile duct stone (CBDS) prediction in acute cholecystitis (AC) patients is challenging, especially in patients with chronic cholecystitis (CC) history. This study aims to describe characteristics of AC patients with CC history and assess LFTs’ utility for CBDS prediction in these patients. A retrospective cohort study was conducted on adults with a diagnosis of AC and CC history included in the National Surgical Quality Improvement Program database from 2008 to 2016. Patients were categorized into CBDS- (without CBDS) and CBDS+ (with CBDS). Multivariate logistic regression was used to determine CBDS predictors. This study included 7458 patients, of which 40.2% were CBDS+. CBDS+ patients were more commonly females (64.4% vs 54.7%, P < .001). Mean levels of bilirubin (1.70 vs 0.90, P < .001), SGOT (105.9 vs 49.0, P < .001) and ALP (164.6 vs 103.8, P < .001) were significantly higher among CBDS+ patients. Significant positive predictors of CBDS were female gender, increased BMI, and abnormal bilirubin, ALP and SGOT. AC patients with CC history are more likely to have CBDS. Abnormal LFTs are significantly associated with CBDS in this patient population. Familiarity with these findings can help raise clinical suspicion of providers for earlier evaluation and management of CBDS.
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spelling pubmed-83763022021-08-21 Liver function tests as predictors of common bile duct stones in acute cholecystitis patients with a chronic history: A retrospective cohort study on the ACS-NSQIP database Zgheib, Hady Wakil, Cynthia Al Souky, Nader Mailhac, Aurelie Jamali, Faek El Sayed, Mazen Tamim, Hani Medicine (Baltimore) 4500 Liver function tests (LFTs) use for common bile duct stone (CBDS) prediction in acute cholecystitis (AC) patients is challenging, especially in patients with chronic cholecystitis (CC) history. This study aims to describe characteristics of AC patients with CC history and assess LFTs’ utility for CBDS prediction in these patients. A retrospective cohort study was conducted on adults with a diagnosis of AC and CC history included in the National Surgical Quality Improvement Program database from 2008 to 2016. Patients were categorized into CBDS- (without CBDS) and CBDS+ (with CBDS). Multivariate logistic regression was used to determine CBDS predictors. This study included 7458 patients, of which 40.2% were CBDS+. CBDS+ patients were more commonly females (64.4% vs 54.7%, P < .001). Mean levels of bilirubin (1.70 vs 0.90, P < .001), SGOT (105.9 vs 49.0, P < .001) and ALP (164.6 vs 103.8, P < .001) were significantly higher among CBDS+ patients. Significant positive predictors of CBDS were female gender, increased BMI, and abnormal bilirubin, ALP and SGOT. AC patients with CC history are more likely to have CBDS. Abnormal LFTs are significantly associated with CBDS in this patient population. Familiarity with these findings can help raise clinical suspicion of providers for earlier evaluation and management of CBDS. Lippincott Williams & Wilkins 2021-08-20 /pmc/articles/PMC8376302/ /pubmed/34414941 http://dx.doi.org/10.1097/MD.0000000000026885 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle 4500
Zgheib, Hady
Wakil, Cynthia
Al Souky, Nader
Mailhac, Aurelie
Jamali, Faek
El Sayed, Mazen
Tamim, Hani
Liver function tests as predictors of common bile duct stones in acute cholecystitis patients with a chronic history: A retrospective cohort study on the ACS-NSQIP database
title Liver function tests as predictors of common bile duct stones in acute cholecystitis patients with a chronic history: A retrospective cohort study on the ACS-NSQIP database
title_full Liver function tests as predictors of common bile duct stones in acute cholecystitis patients with a chronic history: A retrospective cohort study on the ACS-NSQIP database
title_fullStr Liver function tests as predictors of common bile duct stones in acute cholecystitis patients with a chronic history: A retrospective cohort study on the ACS-NSQIP database
title_full_unstemmed Liver function tests as predictors of common bile duct stones in acute cholecystitis patients with a chronic history: A retrospective cohort study on the ACS-NSQIP database
title_short Liver function tests as predictors of common bile duct stones in acute cholecystitis patients with a chronic history: A retrospective cohort study on the ACS-NSQIP database
title_sort liver function tests as predictors of common bile duct stones in acute cholecystitis patients with a chronic history: a retrospective cohort study on the acs-nsqip database
topic 4500
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8376302/
https://www.ncbi.nlm.nih.gov/pubmed/34414941
http://dx.doi.org/10.1097/MD.0000000000026885
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