[Diagnostic performance of biliopancreatic endosonography in patients with intermediate risk of choledocholithiasis].

Q4 Medicine

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2024-01-01

Lázaro Antonio Arango Molano, Andrés Sánchez Gil, Claudia Patricia Diaz Tovar, Andrés Valencia Uribe, Christian Germán Ospina Pérez, Pedro Eduardo Cuervo Pico, Rodrigo Alberto Jiménez Gómez

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引用次数: 0

Abstract

Objective: Determine the sensitivity and specificity of the ESBP for diagnosis in patients with intermediate risk of choledocholithiasis, referred to the specialized surgical Gastroenterology center of Unión de Cirujanos SAS - Oncologists of the West Zentria group - Manizales - Colombia between March 01, 2020 to January 31, 2022.

Materials and methods: Retrospective cross-sectional study in patients with intermediate risk for choledocholithiasis. The diagnostic performance of ESBP was calculated and confirmed with ERCP. Negative ESBPs were followed up by telephone.

Results: 752 cases with ESBP were analyzed, of which 43.2% (n=325) were positive and 56.8% (n=427) were negative. ERCP was performed in positive cases who accepted the procedure (n=317); 73.5% (n:233) were positive for choledocholithiasis, 25.8% (n=82) tumors and 0.6% (n=2) biliary roundworms. Patients with positive ESBP underwent ERCP. S= 98.3% (95% CI: 95.7-99.5) was obtained; E= 88.1% (95% CI: 79.2-94.1); PPV = 95.8% (95% CI: 92.4-98.0); NPV = 94.9% (95% CI: 87.4-98.7). The AUC of ESBP was 0.9319 (95% CI 0.8961-0.967).

Conclusion: In patients with intermediate risk for choledocholithiasis, ESBP is a useful diagnostic option in the study of pancreatic pathologies, extrahepatic biliary tree, and the identification of biliary microlithiasis; Therefore, it also allows us to complement it with a therapeutic intervention such as ERCP in a single time.

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[中危胆总管结石患者胆胰内镜检查的诊断效果]。

目的：确定 ESBP 诊断中等风险胆总管结石患者的敏感性和特异性：在 2020 年 3 月 1 日至 2022 年 1 月 31 日期间，对转诊至哥伦比亚马尼萨莱斯市西 Zentria 集团 Unión de Cirujanos SAS - Oncologists 胃肠病专科外科中心的胆总管结石中危患者，确定 ESBP 诊断的敏感性和特异性：对胆总管结石中危患者进行回顾性横断面研究。计算 ESBP 的诊断性能，并通过 ERCP 进行确认。对 ESBP 阴性者进行电话随访：对 752 例 ESBP 病例进行了分析，其中 43.2%（n=325）为阳性，56.8%（n=427）为阴性。接受ERCP的阳性病例（n=317）中，73.5%（n:233）为胆总管结石阳性，25.8%（n=82）为肿瘤阳性，0.6%（n=2）为胆道蛔虫阳性。ESBP 阳性的患者接受了 ERCP。S=98.3%（95% CI：95.7-99.5）；E=88.1%（95% CI：79.2-94.1）；PPV=95.8%（95% CI：92.4-98.0）；NPV=94.9%（95% CI：87.4-98.7）。ESBP的AUC为0.9319（95% CI 0.8961-0.967）：对于胆总管结石的中危患者，ESBP 是研究胰腺病变、肝外胆道树和鉴别胆道微石症的有用诊断选择；因此，它还允许我们在一次检查中辅以 ERCP 等治疗干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Medicine-Medicine (all)

CiteScore

0.40

自引率

0.00%

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期刊介绍： La REVISTA DE GASTROENTEROLOGíA DEL PERÚ, es la publicación oficial de la Sociedad de Gastroenterología del Perú que publica artículos originales, artículos de revisión, reporte de casos, cartas e información general de la especialidad; dirigido a los profesionales de la salud con especial interés en la gastroenterología. La Revista de Gastroenterología del Perú es una publicación de periodicidad trimestral y tiene como objetivo la publicación de artículos científicos inéditos en el campo de la gastroenterología, proporcionando información actualizada y relevante de la especialidad y áreas afines. La Revista de Gastroenterología del Perú publica artículos en dos idiomas, español e inglés, a texto completo en la versión impresa yelectrónica. Los artículos científicos son sometidos a revisores o árbitros nacionales e internacionales, especialistas que opinan bajo la modalidad de doble ciego y de manera anónima sobre la calidad y validez de los mismos. El número de revisores depende del tipo de artículo, dos revisores como mínimo para artículos originales y uno como mínimo para otros tipos de artículos.