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QUESTION: In patients with symptomatic gallstone disease, can biliary scintiscan predict the presence of pathological findings in the common bile duct (CBD)?
A blinded comparison of scintiscan and ultrasonography alone or combined with clinical or standard criteria (history of jaundice or acute pancreatitis, increased serum bilirubin and alkaline phosphatase concentrations, and visualisation of a stone or presence of dilated bile ducts on ultrasonography) and modified criteria (jaundice within the past 3 mo, increased serum bilirubin and alkaline phosphatase concentrations, and visualisation of a stone or presence of dilated bile ducts on ultrasonography).
A tertiary referral centre in Bombay, India.
75 consecutive patients (mean age 46 y, 61% women) with symptomatic gallstone disease. …
Source of funding: not stated.
For correspondence: Dr S K Mathur, 3rd Floor, Assistant Dean's Bungalow, Dr S S Rao Road, Bombay, 400 012, India. Fax +91 22 413 3435.