{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:20:07Z","timestamp":1747149607486,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T00:00:00Z","timestamp":1689638400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The presentation of the patient with acute cholangitis (AC) ranges from mild illness to life\u2010threatening shock. Therefore, prompt diagnosis and treatment are critical. Abdominal ultrasound (US) is the imaging of choice to locate bile duct dilatation. Other modalities include abdominal computed tomography (CT) or endoscopic retrograde cholangiopancreatography (ERCP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine whether sonographic common bile duct dilatation in emergency department (ED) patients with AC predicts outcomes including sepsis, hospital length of stay (LOS), admission to the intensive care unit (ICU), time to ERCP, and mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Electronic medical records of all patients hospitalized in a tertiary care medical center between July 2012\u2013February 2021 with a discharge diagnosis of cholangitis were assessed. Patients were dichotomously classified as CBD dilated or CBD non\u2010dilated based on ultrasound. Dilation was defined as CBD larger than 6\u2009mm in patients younger than 60 or larger than 6\u2009mm\u2009+\u20091\u2009mm per decade in patients over 60.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included 271 patients\u2010 172 with CBD dilation versus 99 without. Mean LOS was 9.92\u2009days for those with a dilated CBD versus 13.4\u2009days without. The mean time to ERCP was 4.26\u2009days for those with a dilated CBD versus 6.56\u2009days without. Sepsis, mortality, and ICU admission were scarce and there was no statistically significant difference between the cohorts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with a dilated CBD per the abdominal US performed during the patient's ED stay, underwent ERCP earlier, and were hospitalized fewer days than patients without CBD dilation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcu.23526","type":"journal-article","created":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T15:18:17Z","timestamp":1689693497000},"page":"1264-1269","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The association between sonographic common bile duct dilatation and outcomes in emergency department patients with cholangitis"],"prefix":"10.1002","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6521-9040","authenticated-orcid":false,"given":"Ayelet","family":"Rotter","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Shaare Zedek Medical Center  Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadav","family":"Granat","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Beilinson Hospital, Rabin Medical Center  Petah Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Koslowsky","sequence":"additional","affiliation":[{"name":"Digestive Diseases Institute, Shaare Zedek Medical Center  Jerusalem Israel"},{"name":"Faculty of Medicine Hebrew University of Jerusalem  Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tali","family":"Bdolah\u2010Abram","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Hebrew University of Jerusalem  Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alon D.","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Hebrew University of Jerusalem  Jerusalem Israel"},{"name":"Department of Surgery Shaare Zedek Medical Center  Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evan Avraham","family":"Alpert","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Shaare Zedek Medical Center  Jerusalem Israel"},{"name":"Faculty of Medicine Hebrew University of Jerusalem  Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,7,18]]},"reference":[{"issue":"2","key":"e_1_2_12_2_1","first-page":"121","article-title":"Management of acute cholangitis","volume":"7","author":"Mosler P","year":"2011","journal-title":"Gastroenterol Hepatol (N 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