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Predicting common bile duct stones: Comparison of SAGES, ASGE and ESGE criteria for accuracy
OBJECTIVE: To determine accuracy of SAGES, ASGE and ESGE criteria for predicting presence of common bile duct (CBD) stones. METHODS: In a prospective study at Jinnah Hospital Lahore from March 2021 to February 2022, patients with suspected CBD stone were stratified in High risk (HR), intermediate ri...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Professional Medical Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9676605/ https://www.ncbi.nlm.nih.gov/pubmed/36415263 http://dx.doi.org/10.12669/pjms.38.8.6666 |
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author | Yousaf, Muhammad Nadeem Mahmud, Yasir Sarwar, Shahid Ahmad, Muhammad Nauman Ahmad, Mahmood Abbas, Ghulam |
author_facet | Yousaf, Muhammad Nadeem Mahmud, Yasir Sarwar, Shahid Ahmad, Muhammad Nauman Ahmad, Mahmood Abbas, Ghulam |
author_sort | Yousaf, Muhammad Nadeem |
collection | PubMed |
description | OBJECTIVE: To determine accuracy of SAGES, ASGE and ESGE criteria for predicting presence of common bile duct (CBD) stones. METHODS: In a prospective study at Jinnah Hospital Lahore from March 2021 to February 2022, patients with suspected CBD stone were stratified in High risk (HR), intermediate risk (IR) and low risk (LR) for SAGES, ASGE and ESGE criteria. All patients underwent ERCP and risk strata were analyzed using SPSS 22® for sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy. RESULTS: In 90 patients with mean age 45.18(±14.87) and male/female ratio 0.64(35/55), area Under Curve (AUC) for predicting CBD stones was 0.75, 0.81and 0.83 for HR and 0.28, 0.52 and 0.52 for IR group while it was 0.53, 0.81 and 0.53 for absence of stone in LR group of SAGES, ASGE and ESGE criteria respectively. HR groups had accuracy of 81.1%, 86.7% and 87.8% in predicting CBD stone while LR criteria had 68.8%, 86.7% and 68.1% accuracy in predicting absence of CBD stone for SAGES, ASGE and ESGE respectively. CONCLUSION: HR strata of SAGES, ASGE and ESGE scores have excellent accuracy in predicting CBD stones whereas IR and LR criteria are suboptimal for excluding CBD stones. |
format | Online Article Text |
id | pubmed-9676605 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Professional Medical Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-96766052022-11-21 Predicting common bile duct stones: Comparison of SAGES, ASGE and ESGE criteria for accuracy Yousaf, Muhammad Nadeem Mahmud, Yasir Sarwar, Shahid Ahmad, Muhammad Nauman Ahmad, Mahmood Abbas, Ghulam Pak J Med Sci Original Article OBJECTIVE: To determine accuracy of SAGES, ASGE and ESGE criteria for predicting presence of common bile duct (CBD) stones. METHODS: In a prospective study at Jinnah Hospital Lahore from March 2021 to February 2022, patients with suspected CBD stone were stratified in High risk (HR), intermediate risk (IR) and low risk (LR) for SAGES, ASGE and ESGE criteria. All patients underwent ERCP and risk strata were analyzed using SPSS 22® for sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy. RESULTS: In 90 patients with mean age 45.18(±14.87) and male/female ratio 0.64(35/55), area Under Curve (AUC) for predicting CBD stones was 0.75, 0.81and 0.83 for HR and 0.28, 0.52 and 0.52 for IR group while it was 0.53, 0.81 and 0.53 for absence of stone in LR group of SAGES, ASGE and ESGE criteria respectively. HR groups had accuracy of 81.1%, 86.7% and 87.8% in predicting CBD stone while LR criteria had 68.8%, 86.7% and 68.1% accuracy in predicting absence of CBD stone for SAGES, ASGE and ESGE respectively. CONCLUSION: HR strata of SAGES, ASGE and ESGE scores have excellent accuracy in predicting CBD stones whereas IR and LR criteria are suboptimal for excluding CBD stones. Professional Medical Publications 2022 /pmc/articles/PMC9676605/ /pubmed/36415263 http://dx.doi.org/10.12669/pjms.38.8.6666 Text en Copyright: © Pakistan Journal of Medical Sciences https://creativecommons.org/licenses/by/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0 (https://creativecommons.org/licenses/by/3.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Yousaf, Muhammad Nadeem Mahmud, Yasir Sarwar, Shahid Ahmad, Muhammad Nauman Ahmad, Mahmood Abbas, Ghulam Predicting common bile duct stones: Comparison of SAGES, ASGE and ESGE criteria for accuracy |
title | Predicting common bile duct stones: Comparison of SAGES, ASGE and ESGE criteria for accuracy |
title_full | Predicting common bile duct stones: Comparison of SAGES, ASGE and ESGE criteria for accuracy |
title_fullStr | Predicting common bile duct stones: Comparison of SAGES, ASGE and ESGE criteria for accuracy |
title_full_unstemmed | Predicting common bile duct stones: Comparison of SAGES, ASGE and ESGE criteria for accuracy |
title_short | Predicting common bile duct stones: Comparison of SAGES, ASGE and ESGE criteria for accuracy |
title_sort | predicting common bile duct stones: comparison of sages, asge and esge criteria for accuracy |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9676605/ https://www.ncbi.nlm.nih.gov/pubmed/36415263 http://dx.doi.org/10.12669/pjms.38.8.6666 |
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