Dib Jacobo
Gastroenterologia, Hospital de Lidice, Venezuela.
Rev Esp Enferm Dig. 2017 Feb;109(2):166. doi: 10.17235/reed.2017.4511/2016.
I read with interest the article "Accuracy of ASGE criteria for the prediction of choledocholithiasis" by Nárvaez et al. Patients with suspicion of choledocholithiasis (CL) were categorized according to the American Society for Gastrointestinal Endoscopy (ASGE) recommendations. Those patients classified into high or intermediate-probability for CL underwent an endoscopic retrograde cholangiopancreatography (ERCP) without any further non-endoscopic biliary imaging modalities. In the ASGE recommendations for intermediate risk CL patients, they mention options for the evaluation of these patients including endoscopic ultrasound (EUS) and magnetic resonance cholangiography (MRC).
我饶有兴趣地阅读了纳尔瓦埃斯等人撰写的文章《美国胃肠内镜学会(ASGE)预测胆总管结石标准的准确性》。疑似胆总管结石(CL)的患者根据美国胃肠内镜学会(ASGE)的建议进行分类。那些被归类为CL高概率或中概率的患者接受了内镜逆行胰胆管造影(ERCP),而没有采用任何进一步的非内镜胆道成像方式。在ASGE针对中风险CL患者的建议中,他们提到了对这些患者进行评估的选项,包括内镜超声(EUS)和磁共振胰胆管造影(MRC)。