Role of endosonography in the diagnosis of choledocholithiasis: emergency hospital experience

Shadiev A.M.; Teterin Yu.S.; Yartsev P.A.; Kachmazova A.V.; Magomedbekov M.M.

doi:https://doi.org/10.17116/dokgastro20221102126

Shadiev A.M.

Sklifosovsky Research Institute of Emergency Care

ORCID: 0000-0002-1104-7942

Teterin Yu.S.

Sklifosovsky Research Institute for Emergency Care

SPIN RSCI: 8888-5490
Scopus AuthorID: 57194386231
ORCID: 0000-0003-2222-3152

Yartsev P.A.

Sklifosovsky Research Institute for Emergency Care

SPIN RSCI: 4044-9661
Scopus AuthorID: 55970485700
ResearcherID: P-9151-2017
ORCID: 0000-0003-1270-5414

Kachmazova A.V.

Sklifosovsky Research Institute of Emergency Care

ORCID: 0000-0002-4188-0214

Magomedbekov M.M.

Sklifosovsky Research Institute of Emergency Care

Role of endosonography in the diagnosis of choledocholithiasis: emergency hospital experience

Authors:

Shadiev A.M., Teterin Yu.S., Yartsev P.A., Kachmazova A.V., Magomedbekov M.M.

More about the authors

Journal: Russian Journal of Evidence-Based Gastroenterology. 2022;11(2): 26‑30

DOI: 10.17116/dokgastro20221102126

Read: 1066 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Shadiev AM, Teterin YuS, Yartsev PA, Kachmazova AV, Magomedbekov MM. Role of endosonography in the diagnosis of choledocholithiasis: emergency hospital experience. Russian Journal of Evidence-Based Gastroenterology. 2022;11(2):26‑30. (In Russ.)
https://doi.org/10.17116/dokgastro20221102126

Подписка 2026 Доказательная гастроэнтерология (Russian Journal of Evidence-Based Gastroenterology)

Использование инфографики авторами научных работ

Close metadata

OBJECTIVE

To determine the diagnostic value of endoscopic ultrasonography (EUS) in patients with cholelithiasis.

MATERIAL AND METHODS

890 patients with calculous cholecystitis were hospitalized at Sklifosovsky Research Institute of Emergency Care between August 2020 and June 2021. 115 patients had obstructive jaundice caused by choledocholithiasis. In 46 patients the diagnosis was doubtful (with typical laboratory changes and clinical picture for choledocholithiasis, instrumental methods could not detect stone conversely, with normal clinical and laboratory features, instrumental methods did not exclude choledocholithiasis). These discrepancies served as inclusion criteria for the study group.

RESULTS

We established the final diagnosis in all patients with EUS (100.0%). ERCP was performed urgently (within two days) for all patients with choledocholithiasis, which confirmed the presence of stones.

CONCLUSIONS

EUS is the most informative and safe diagnostic method, which allows identifying choledocholithiasis in patients with uncertain diagnoses in a shorter time.

Keywords:

endosonography

choledocholithiasis

endoscopic retrograde cholangiopacreatography

obstructive jaundice

cholecystitis

Authors:

Shadiev A.M.

Sklifosovsky Research Institute of Emergency Care

ORCID: 0000-0002-1104-7942

Teterin Yu.S.

Sklifosovsky Research Institute for Emergency Care

SPIN RSCI: 8888-5490
Scopus AuthorID: 57194386231
ORCID: 0000-0003-2222-3152

Yartsev P.A.

Sklifosovsky Research Institute for Emergency Care

SPIN RSCI: 4044-9661
Scopus AuthorID: 55970485700
ResearcherID: P-9151-2017
ORCID: 0000-0003-1270-5414

Kachmazova A.V.

Sklifosovsky Research Institute of Emergency Care

ORCID: 0000-0002-4188-0214

Magomedbekov M.M.

Sklifosovsky Research Institute of Emergency Care

Received:

04.02.2022

Accepted:

22.03.2022

Close metadata

References:

Vahrushev YaM, Hohlacheva NA. Factors contributing to the formation of gallstones and their interaction. Terapevticheskij arhiv. 2010;82(1):8-11. (In Russ.).
Lill S, Rantala A, Pekkala E, Sarparanta H, Huhtinen H, Rautava P, Grönroos JM. Elective laparoscopic cholecystectomy without routine intraoperative cholangiography: a retrospective analysis of 1101 consecutive cases. Scandinavian Journal of Surgery. 2010;99(4):197-200. https://doi.org/10.1177/145749691009900403
Yousefpour Azary S, Kalbasi H, Setayesh A, Mousavi M, Hashemi A, Khodadoostan M, Zali MR, Mohammad Alizadeh AH. Predictive value and main determinants of abnormal features of intraoperative cholangiography during cholecystectomy. Hepatobiliary and Pancreatic Diseases International. 2011;10(3):308-312. https://doi.org/10.1016/s1499-3872(11)60051-9
Uspensky YuP, Fominykh YuA, Sousova YaV, Gulunov ZH, Niyazov R. Gastrointestinal manifestations of metabolic syndrome. Vrach. 2018;29(12):3-8. (In Russ.). https://doi.org/10.29296/25877305-2018-12-01
Rogal’ ML, Novikov SV, Magomedbekov MM, Kudriashova NE, Mironov AV. Choice of surgical tactics in patients with acute cholecystitis complicated by cholelithiasis. Khirurgiya. Zurnal im. N.I. Pirogova. 2018;4:41-45. (In Russ.). https://doi.org/10.17116/hirurgia2018441-45
Lahmann BE, Adrales G, Schwartz RW. Choledocholithiasis — principles of diagnosis and management. Current Surgery. 2004;61(3):290-293. https://doi.org/10.1016/j.cursur.2003.07.014
Dergachev AI, Brodskiǐ AR. Radiation diagnosis of biliary system before laparoscopic cholecystectomy (review of literature). Part 1: ultrasonic techniques. Vestnik rentgenologii i radiologii. 2000;2:55-64. (In Russ.).
Borisov AE, Kurpilyanskij AV, Amosov AV, Akimov VP. Intraoperative ultrasound examination of extrahepatic bile ducts. Vestnik hirurgii im. I.I. Grekova. 2004;1:90-92. (In Russ.).
Dienes H-P, Leuschner U, Lohse AW, Manns MP, eds. Autoimmune Liver Diseases. Dordrecht: Springer Netherlands; 2005.
Tsimmerman YaS. Chronic cholecystitis and its clinical masks: daiagnosis and differential diagnosis. Klinicheskaya medicina. 2006; 84(5):1-12. (In Russ.).
Fedorov AG, Davydova SV, Klimov AE. Complications of endoscopic transpapillary interventions, approaches to prevention and treatment. Neotlozhnaya medicinskaya pomoshch’. Zhurnal im. N.V. Sklifosovskogo. 2012;3:29-35. (In Russ.).
Bystrov SA, Zhukov BN. Minimally invasive interventions in acute cholecystitis complicated by mechanical jaundice. Medicinskij al’manah. 2011;15(2):87-89. (In Russ.).
Migunova EV, Popova IE, Kokov LS, Rogal’ ML, Magomedbekov MM. Comprehensive diagnosis of acute cholecystitis complicated by choledocholithiasis. Moskovskij hirurgicheskij zhurnal. 2018;61(3):13-14. (In Russ.).
Voronova EA, Pakhomova RA. Modern concepts of classification obstructive jaundice. Sovremennye problemy nauki i obrazovaniya. 2015;6:296. (In Russ.).