2 results
31/Jul/2023
31/Jul/2023
DOI: 10.31744/einstein_journal/2023AO0204
Highlights Alkaline phosphatase: sensitivity of 97.6% and specificity of 72.6% for choledocholitiasis. The average cost of cholangioresonance would have decreased by almost half for each patient in this study. ABSTRACT Objective To assess the predictive value of preoperative serum laboratory test results for identifying choledocholithiasis and reduce the use of cholangioresonance and its inherent costs. Methods Patients aged 21-69 years who underwent preoperative cholangioresonance examination at our institute were included. Patients with a history of fluctuating jaundice or biliary pancreatitis, […]
Keywords: Alkaline phosphatase; Cholangiopancreatography, magnetic resonance; Choledocholithiasis; Cholelithiasis; Gallstones; Health care costs
09/Jun/2015
DOI: 10.1590/S1679-45082015RC2935
Most biliary stone diseases need to be treated surgically. However, in special cases that traditional biliary tract endoscopic access is not allowed, a multidisciplinary approach using hybrid technique with urologic instrumental constitute a treatment option. We report a case of a patient with complex intrahepatic stones who previously underwent unsuccessful conventional approaches, and who symptoms resolved after treatment with hybrid technique using an endourologic technology. We conducted an extensive literature review until October 2012 of manuscripts indexed in PubMed on […]
Keywords: Billary tract surgical procedures; Case reports; Choledocholithiasis; Ureteroscopy