Erschienen in:
01.08.2014 | Editorial
Intraductal Ultrasound for High-Risk Patients: When Will the Last Be First?
verfasst von:
Pietro Fusaroli, Giancarlo Caletti
Erschienen in:
Digestive Diseases and Sciences
|
Ausgabe 8/2014
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Excerpt
Endoscopic ultrasound (EUS) has excellent overall sensitivity (94 %) and specificity (95 %) for the diagnosis of choledocholithiasis [
1]. EUS is also very accurate in the diagnosis of common bile duct (CBD) sludge, with a sensitivity up to 90 % and specificity of 97 % (personal data). By performing EUS first in patients with suspected CBD stones, endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy (EST) may be safely avoided in two-thirds of the cases. On the other hand, ERCP with EST is appropriate when the presence of CBD stones has been documented by EUS. As a result, a EUS-based selection of patients for therapeutic ERCP significantly reduces complication rates [
2,
3]. …