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Preoperative Evaluation of Common Bile Duct Stones in Patients with Gallstone Disease

Young-Jin Kim1, Myeong Jin Kim1, Ki Whang Kim1, Jae Book Chung2, Woo Jung Lee3, Joo-Hee Kim1, Young-Taik Oh1, Joon-Seok Lim1 and Jin Young Choi1

1 Department of Diagnostic Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul 120-752, South Korea.
2 Department of Internal Medicine, Yonsei Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, South Korea.
3 Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea.



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  		Fig. 1. —Graph shows comparison of group undergoing MR cholangiography (MRC) and endoscopic retrograde cholangiography (ERC) and group undergoing ERC only. ALP = alkaline phosphatase, ALT = alanine aminotransferase, AST = aspartate aminotransferase, {gamma}-GT = {gamma}-glutamyl transferase, TB = total bilirubin.

 


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  		Fig. 2. —Bar graph shows proportion of each risk group in each technique group. ERC = endoscopic retrograde cholangiography, MRC = MR cholangiography.

 


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  		Fig. 3. —Graph shows serum chemistry data for each risk group. ALP = alkaline phosphatase, ALT = alanine aminotransferase, AST = aspartate aminotransferase, {gamma}-GT = {gamma}-glutamyl transferase, TB = total bilirubin.

 


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  		Fig. 4. —Incidence of common bile duct stones in each group. ERC = endoscopic retrograde cholangiography, MRC = MR cholangiography.

 


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  		Fig. 5. —Our recommendation for preoperative evaluation of common bile duct (CBD) stones in patients with gallstone disease. ERC = endoscopic retrograde cholangiography, MRC = MR cholangiography, LC = laparoscopic cholecystectomy.

 

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