{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:04:34Z","timestamp":1777899874055,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2015,2,10]],"date-time":"2015-02-10T00:00:00Z","timestamp":1423526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scott Med J"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background and aims<\/jats:title>\n                    <jats:p>Endoscopic ultrasound has become an invaluable tool in the investigation of patients with suspected pancreatobiliary disease. We set out to determine whether a \u201cdirect-to-test\u201d endoscopic ultrasound procedure could be offered to selected patients with suspected choledocholithiasis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>We included patients referred to our general gastroenterology service with clinical history, symptomatology and\/or laboratory results compatible with choledocholithiais. Almost all patients had already had a transabdominal ultrasound performed at the request of their general practitioner. All patients underwent direct-to-test day-case endoscopic ultrasound under conscious sedation. Procedures were performed by a single practitioner using an oblique-viewing radial echoendoscope. The diagnostic yield and frequencies of discharge, onward referral and follow-up were determined. Overall diagnostic yield of direct-to-test endoscopic ultrasound was 61%. The most common diagnoses were cholelithiasis (18%) and choledocholithiasis (11%); one periampullary cancer was also detected. A definitive outcome (discharge or referral for a therapeutic procedure) occurred in 14 of 28 patients (50%). The remaining 14 patients underwent further out-patient evaluation. Eventual diagnoses in this group included autoimmune hepatitis, primary biliary cirrhosis and drug-induced hepatitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>For patients with suspected biliary disease, direct-to-test endoscopic ultrasound has a high diagnostic yield, and may be an appropriate mode of investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0036933015572276","type":"journal-article","created":{"date-parts":[[2015,2,11]],"date-time":"2015-02-11T20:16:56Z","timestamp":1423685816000},"page":"85-89","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Initial experience of direct-to-test endoscopic ultrasonography for suspected choledocholithiasis"],"prefix":"10.1177","volume":"60","author":[{"given":"Paul","family":"Lochhead","sequence":"first","affiliation":[{"name":"Clinical Lecturer, Gastrointestinal Research Group, Institute of Medical Sciences, University of Aberdeen, UK; Gastrointestinal and Liver Service, Aberdeen Royal Infirmary, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Perminder","family":"Phull","sequence":"additional","affiliation":[{"name":"Consultant Gastroenterologist, Gastrointestinal and Liver Service, Aberdeen Royal Infirmary, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,2,10]]},"reference":[{"key":"bibr1-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2010.01.002"},{"key":"bibr2-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2012.09.009"},{"key":"bibr3-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2005.03.002"},{"key":"bibr4-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.2008.05318.x"},{"key":"bibr5-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2005.12.038"},{"key":"bibr6-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-007-0275-1"},{"key":"bibr7-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1111\/j.1443-1661.2011.01113.x"},{"key":"bibr8-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1517\/17530059.2012.711313"},{"key":"bibr9-0036933015572276","doi-asserted-by":"publisher","DOI":"10.4253\/wjge.v2.i8.278"},{"key":"bibr10-0036933015572276","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i4.511"},{"key":"bibr11-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.306.6894.1750-a"},{"key":"bibr12-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(98)70077-X"},{"key":"bibr13-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2003.55"},{"key":"bibr14-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)03308-0"},{"key":"bibr15-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/379014"},{"key":"bibr16-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2005.00868.x"},{"key":"bibr17-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2008.21"},{"key":"bibr18-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(99)70152-5"},{"key":"bibr19-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1055\/s-2005-861142"},{"key":"bibr20-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2010.04.007"},{"key":"bibr21-0036933015572276","doi-asserted-by":"publisher","DOI":"10.1177\/2050640613498589"}],"container-title":["Scottish Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0036933015572276","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0036933015572276","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0036933015572276","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T10:17:01Z","timestamp":1777630621000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0036933015572276"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2,10]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,5]]}},"alternative-id":["10.1177\/0036933015572276"],"URL":"https:\/\/doi.org\/10.1177\/0036933015572276","relation":{},"ISSN":["0036-9330","2045-6441"],"issn-type":[{"value":"0036-9330","type":"print"},{"value":"2045-6441","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2,10]]}}}