Rendimiento diagnóstico de la endosonografía biliopancreática en pacientes con riesgo intermedio de coledocolitiasis

Lázaro Antonio Arango Molano; Andrés Sánchez Gil; Claudia Patricia Diaz Tovar; Andrés Valencia Uribe; Christian Germán Ospina Pérez; Pedro Eduardo Cuervo Pico; Rodrigo Alberto Jiménez Gómez

doi:10.47892/rgp.2024.441.1648

Authors

Lázaro Antonio Arango Molano Unión de Cirujano, Oncólogos de Occidente Grupo Zentria, Manizales, Colombia; Universidad de Caldas, Manizales, Colombia. https://orcid.org/0000-0001-5197-2326
Andrés Sánchez Gil Unión de Cirujano, Oncólogos de Occidente Grupo Zentria, Manizales, Colombia; Universidad de Caldas, Manizales, Colombia. https://orcid.org/0000-0002-1159-5316
Claudia Patricia Diaz Tovar Unión de Cirujano, Oncólogos de Occidente Grupo Zentria, Manizales, Colombia. https://orcid.org/0000-0002-5775-7720
Andrés Valencia Uribe Unión de Cirujano, Oncólogos de Occidente Grupo Zentria, Manizales, Colombia https://orcid.org/0000-0002-5843-1829
Christian Germán Ospina Pérez Universidad de Caldas, Manizales, Colombia. https://orcid.org/0000-0002-9572-6829
Pedro Eduardo Cuervo Pico Universidad de Caldas, Manizales, Colombia. https://orcid.org/0009-0001-3520-8560
Rodrigo Alberto Jiménez Gómez Universidad de Caldas, Manizales, Colombia. https://orcid.org/0000-0003-1339-2528

DOI:

https://doi.org/10.47892/rgp.2024.441.1648

Keywords:

Endosonography, Choledocholithiasis, Diagnostic Imaging

Abstract

Objective: Determine the sensitivity and specificity of the ESBP for diagnosis in patients with intermediate risk of choledocholithiasis, referred to the specialized surgical Gastroenterology center of Unión de Cirujanos SAS – Oncologists of the West Zentria group – Manizales – Colombia between March 01, 2020 to January 31, 2022. Materials and methods: Retrospective cross-sectional study in patients with intermediate risk for choledocholithiasis. The diagnostic performance of ESBP was calculated and confirmed with ERCP. Negative ESBPs were followed up by telephone. Results: 752 cases with ESBP were analyzed, of which 43.2% (n=325) were positive and 56.8% (n=427) were negative. ERCP was performed in positive cases who accepted the procedure (n=317); 73.5% (n:233) were positive for choledocholithiasis, 25.8% (n=82) tumors and 0.6% (n=2) biliary roundworms. Patients with positive ESBP underwent ERCP. S= 98.3% (95% CI: 95.7-99.5) was obtained; E= 88.1% (95% CI: 79.2-94.1); PPV = 95.8% (95% CI: 92.4-98.0); NPV = 94.9% (95% CI: 87.4-98.7). The AUC of ESBP was 0.9319 (95% CI 0.8961-0.967). Conclusion: In patients with intermediate risk for choledocholithiasis, ESBP is a useful diagnostic option in the study of pancreatic pathologies, extrahepatic biliary tree, and the identification of biliary microlithiasis; Therefore, it also allows us to complement it with a therapeutic intervention such as ERCP in a single time.

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