{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T07:28:05Z","timestamp":1761290885977},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[1995,10,1]],"date-time":"1995-10-01T00:00:00Z","timestamp":812505600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1995,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Current means of predicting the presence of bile duct stones are sensitive but produce a large number of false-positive results, potentially leading to added morbidity from unnecessary invasive investigation. This study prospectively assessed 545 patients with gallbladder stones, including 55 patients with bile duct stones, to refine criteria for further investigation of the bile duct. The sensitivity, specificity, and positive and negative predictive values were calculated for bile duct dilatation (diameter abnormal if larger than 5 mm below age 50 years, normal value increasing by 1 mm per decade) and elevation of three liver function tests, singly or in combination. Depending on the number of abnormalities used the sensitivity ranged from 46 to 96 per cent and the positive predictive value from 35 to 77 per cent. All groupings gave at least 96 per cent negative predictive value for the absence of stones but none combined both high sensitivity and positive predictive value. The specificity was improved if the tests were done on the working day before operation. Refining criteria for predicting bile duct stones allows the selective use of cholangiography and may reduce the number of negative cholangiograms.<\/jats:p>","DOI":"10.1002\/bjs.1800821026","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T21:17:34Z","timestamp":1172956654000},"page":"1371-1373","source":"Crossref","is-referenced-by-count":23,"title":["Prospective evaluation of ultrasonography and liver function tests for preoperative assessment of the bile duct"],"prefix":"10.1093","volume":"82","author":[{"given":"C R B","family":"Welbourn","sequence":"first","affiliation":[{"name":"Department of Surgery, Southmead Hospital , Bristol,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J M","family":"Haworth","sequence":"additional","affiliation":[{"name":"Department of Radiology, Southmead Hospital , Bristol,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D J","family":"Leaper","sequence":"additional","affiliation":[{"name":"Department of Surgery, Southmead Hospital , Bristol,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M H","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Southmead Hospital , Bristol,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1995,10,1]]},"reference":[{"key":"2024092815125150700_bib1","first-page":"209","article-title":"Laparoscopic cholangiography. Results and indications","volume":"215","author":"Flowers","year":"1992","journal-title":"Am Surg"},{"key":"2024092815125150700_bib2","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1002\/bjs.1800800243","article-title":"Selective cholangiography in laparoscopic cholecystectomy","volume":"80","author":"Grace","year":"1993","journal-title":"Br J Surg"},{"key":"2024092815125150700_bib3","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1007\/BF02067079","article-title":"Routine versus selective intra-operative cholangiography during laparoscopic cholecystectomy","volume":"16","author":"Soper","year":"1992","journal-title":"World J Surg"},{"key":"2024092815125150700_bib4","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1001\/archsurg.1991.01410320111016","article-title":"The role of cholangiography in laparoscopic cholecystectomy","volume":"126","author":"Sackier","year":"1991","journal-title":"Arch Surg"},{"key":"2024092815125150700_bib5","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/0002-9610(91)90597-7","article-title":"Routine or selected intraoperative cholangiography during laparoscopic cholecystectomy?","volume":"161","author":"Berci","year":"1991","journal-title":"Am J Surg"},{"key":"2024092815125150700_bib6","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1002\/bjs.1800800505","article-title":"Laparoscopic cholecystectomy","volume":"80","author":"Macintyre","year":"1993","journal-title":"Br J Surg"},{"key":"2024092815125150700_bib7","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1055\/s-2007-1010576","article-title":"Prospective evaluation of the use of endoscopic retrograde cholangiography prior to laparoscopic cholecystectomy","volume":"24","author":"Neuhaus","year":"1992","journal-title":"Endoscopy"},{"key":"2024092815125150700_bib8","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/j.1445-2197.1993.tb00024.x","article-title":"The role of ERCP and endoscopic sphincterotomy in the era of laparoscopic cholecystectomy","volume":"63","author":"O'Rourke","year":"1993","journal-title":"Aust N Z J Surg"},{"key":"2024092815125150700_bib9","first-page":"527","article-title":"The evaluation and management of known or suspected stones of the common bile duct in the era of minimal access surgery","volume":"176","author":"Leitman","year":"1993","journal-title":"Surg Gynecol Obstet"},{"key":"2024092815125150700_bib10","first-page":"285","article-title":"The role of endoscopic retrograde cholangio-pancreaticogram in laparoscopic cholecystectomy","volume":"59","author":"Hawasli","year":"1993","journal-title":"Am Surg"},{"key":"2024092815125150700_bib11","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1097\/00000658-199307000-00010","article-title":"Laparoscopic cholecystectomy and common bile duct stones. The utility of planned perioperative endoscopic retrograde cholangiography and sphincterotomy: experience with 63 patients","volume":"218","author":"Graham","year":"1993","journal-title":"Ann Surg"},{"key":"2024092815125150700_bib12","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1002\/bjs.1800820238","article-title":"Role of intraoperative cholangiography in laparoscopic cholecystectomy","volume":"82","author":"Madhavan","year":"1995","journal-title":"Br J Surg"},{"article-title":"Eyre-Brook IA. Selective pre-operative endoscopic retrograde cholangiography with sphincterotomy avoids bile duct exploration during laparoscopic cholecystectomy","volume-title":"Gut","author":"Welbourn","key":"2024092815125150700_bib13"},{"key":"2024092815125150700_bib14","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1016\/S0002-9610(05)81277-2","article-title":"Editorial comment","volume":"159","author":"Taylor","year":"1990","journal-title":"Am J Surg"},{"key":"2024092815125150700_bib15","first-page":"318","article-title":"Prospective randomized study of routine intraoperative cholangiography during open cholecystectomy: long-term follow-up and multivariate analysis of predictors of choledocholithiasis","volume":"113","author":"Hauer-Jensen","year":"1993","journal-title":"Surgery"},{"key":"2024092815125150700_bib16","doi-asserted-by":"crossref","first-page":"1114","DOI":"10.1001\/archsurg.1980.01380090080019","article-title":"Preoperative evaluation of the risk of common bile duct stones","volume":"115","author":"Lacaine","year":"1980","journal-title":"Arch Surg"},{"key":"2024092815125150700_bib17","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1002\/bjs.1800750216","article-title":"Prediction of choledocholithiasis using a pocket microcomputer","volume":"75","author":"Taylor","year":"1988","journal-title":"Br J Surg"},{"key":"2024092815125150700_bib18","first-page":"7","article-title":"Prediction of operative cholangiography in patients undergoing elective cholecystectomy with routine liver function chemistries","volume":"98","author":"Del","year":"1985","journal-title":"Surgery"},{"key":"2024092815125150700_bib19","first-page":"381","article-title":"Preoperative bilirubin, alkaline phosphatase and amylase levels as predictors of common duct stones","volume":"154","author":"Saltzstein","year":"1982","journal-title":"Surg Gynecol Obstet"},{"key":"2024092815125150700_bib20","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1097\/00000658-199407000-00006","article-title":"Useful predictors of bile duct stones in patients undergoing laparoscopic cholecystectomy. McGill Gallstone Treatment Group","volume":"220","author":"Barkun","year":"1994","journal-title":"Ann Surg"},{"key":"2024092815125150700_bib21","first-page":"317","article-title":"Assessment of the common bile duct before cholecystectomy using ultrasound and biochemical measurements: validation based on follow-up","volume":"76","author":"Watkin","year":"1994","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092815125150700_bib22","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1111\/ans.1990.60.3.189","article-title":"Pre-operative ultrasound measurement of bile duct diameter: basis for selective cholangiography","volume":"60","author":"Hunt","year":"1990","journal-title":"Aust NZ J Surg"},{"key":"2024092815125150700_bib23","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1002\/jcu.1870120804","article-title":"Effect of aging on common bile duct diameter: a real-time ultrasonographic study","volume":"12","author":"Wu","year":"1984","journal-title":"J Clin Ultrasound"},{"key":"2024092815125150700_bib24","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1002\/bjs.1800810606","article-title":"Management of bile duct stones in the era of laparoscopic cholecystectomy","volume":"81","author":"Perissat","year":"1994","journal-title":"Br J Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800821026","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/82\/10\/1371\/59412519\/bjs1800821026.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/82\/10\/1371\/59412519\/bjs1800821026.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T15:13:03Z","timestamp":1727536383000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/82\/10\/1371\/6167527"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,10,1]]},"references-count":24,"journal-issue":{"issue":"10","published-online":{"date-parts":[[1995,10,1]]},"published-print":{"date-parts":[[1995,10,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800821026","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1995,10]]},"published":{"date-parts":[[1995,10,1]]}}}