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Reducing Invasive Evaluations in Patients with Incidental Common Bile Duct Dilation

Endoscopic ultrasound (EUS) for incidental common bile duct (CBD) dilation revealed that only 8.3% of cases had significant findings. Researchers identified predictors including age ≥70, non-biliary-type abdominal pain, CBD diameter ≥15 mm, and prior ERCP. A novel clinical prediction model was created, scoring age, pain type, prior ERCP, and CBD dilation. A score <1 predicted <2% chance of significant findings, potentially reducing low-yield EUS in nearly a third of cases.

Journal Article by Raza Z, Altayar O (…) Das KK et 12 al. in Gastrointest Endosc

Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

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