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. 2001 Jul-Aug;5(4):434-7.
doi: 10.1016/s1091-255x(01)80073-1.

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

H M Soltan  1 , L Kow, J Toouli
Affiliations

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

H M Soltan et al. J Gastrointest Surg. 2001 Jul-Aug.

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 1-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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