Patients with biliary stone disease at low risk for common bile duct lithiasis can be identified preoperatively by noninvasive methods.
Patient evaluation:
(1) history and physical examination
(2) serum biochemistries
(3) ultrasound
Definition of low-risk group:
(1) no jaundice
(2) normal transaminase levels (AST and ALT)
(3) a common bile duct diameter < 8 mm on ultrasound
(4) no intrahepatic duct enlargement on ultrasound
Risk Group
Acute Gallbladder Complications
Risk of Common Bile Duct Lithiasia
low
present
1%
absent
5%
not low
NA
39%
where:
• Acute gallbladder complications include acute cholecystitis or hydrocholecystitis.
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Specialty: Gastroenterology, Surgery, general
ICD-10: ,