Alhawarey, A., Elalfy, H., Soliman, G., Okasha, H., El-bendary, M. (2021). The Role of Endoscopic Ultrasound in Patients with Choledocholithiasis: A pilot study. Medical Journal of Viral Hepatitis, (), -. doi: 10.21608/mjvh.2021.24821.1000
Ahmed Ibrahim Alhawarey; Halem Elalfy; Gamal Soliman; Hussein Okasha; Mahmoud El-bendary. "The Role of Endoscopic Ultrasound in Patients with Choledocholithiasis: A pilot study". Medical Journal of Viral Hepatitis, , , 2021, -. doi: 10.21608/mjvh.2021.24821.1000
Alhawarey, A., Elalfy, H., Soliman, G., Okasha, H., El-bendary, M. (2021). 'The Role of Endoscopic Ultrasound in Patients with Choledocholithiasis: A pilot study', Medical Journal of Viral Hepatitis, (), pp. -. doi: 10.21608/mjvh.2021.24821.1000
Alhawarey, A., Elalfy, H., Soliman, G., Okasha, H., El-bendary, M. The Role of Endoscopic Ultrasound in Patients with Choledocholithiasis: A pilot study. Medical Journal of Viral Hepatitis, 2021; (): -. doi: 10.21608/mjvh.2021.24821.1000
The Role of Endoscopic Ultrasound in Patients with Choledocholithiasis: A pilot study
Articles in Press, Accepted Manuscript, Available Online from 05 May 2021
1Tropical medicine department, Faculty of Medicine,Mansoura University
2Tropicalmedicine department, Faculty of medicine, Mansoura University
3Tropical Medicine Department, Faculty of Medicine, Al Azhar University of Cairo
4Internal Medicine Department, Faculty of Medicine, Cairo University
5Tropical Medicine Department, Faculty of Medicine, Mansoura University
Abstract
Endoscopic ultrasound (EUS) is a diagnostic modality that continues to expand its clinical ap-plications. The aim of this study is to evaluate the diagnostic role of EUS in common bile duct stones.The study was carried on 29 patients with suspected CBD stones from them only 15 patients were diagnosed as Common Bile Duct stone(s). Endoscopic retrograde cholangiopancreatography (ERCP) is considered as gold standard for diagnosis of CBD stones and compare EUS findings with that of ERCP. The diagnostic performance of EUS show that sensitivity, specificity, PPV, NPV and accuracy of 100%, 92.8%, 93.7%, 100% and 96.5% respectively. It can catch 15 of 15 true positive cases with only one false positive case and 13 of 14 true negative cases. EUS is considered as minimally invasive method with low incidence of complications allowing exact determination of site and size of stones.So EUS aid in good planning for CBD stones removal. Nevertheless resources, availability, operator experience, and cost limit widespread use of this modality.