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Diagnosis
Biliary scintiscan had high sensitivity and specificity for predicting pathological findings in the common bile duct

https://doi.org/10.1136/ebm.5.5.154

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    (2000) Br J Surg 87, 181. Mathur SK, Soonawalla ZF, Shah SR, et al.. Role of biliary scintiscan in predicting the need for cholangiography.. Feb;. :. –5.
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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)?

    Design

    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).

    Setting

    A tertiary referral centre in Bombay, India.

    Patients

    75 consecutive patients (mean age 46 y, 61% women) with symptomatic gallstone disease. …

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    Footnotes

    • 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.