Predicting common bile duct stones: Comparison of SAGES, ASGE and ESGE criteria for accuracy

  • Muhammad Nadeem Yousaf Jinnah Hospital Lahore
  • Yasir Mahmud Jinnah Hospital Lahore
  • Shahid Sarwar Services Institute of Medical Sciences
  • Muhammad Nauman Ahmad Jinnah Hospital Lahore
  • Mahmood Ahmad
  • Ghulam Abbas
Keywords: ASGE, Common bile duct stones, ERCP, ESGE, Risk stratification, SAGES

Abstract

Objective: To determine accuracy of SAGES, ASGE and ESGE criteria for predicting presence of common bile duct (CBD) stones.

Methods: In a prospective study at Jinnah Hospital Lahore from March 2021 to February 2022, patients with suspected CBD stone were stratified in High risk (HR), intermediate risk (IR) and low risk (LR) for SAGES, ASGE and ESGE criteria. All patients underwent ERCP and risk strata were analyzed using SPSS 22® for sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy.

Results: In 90 patients with mean age 45.18(±14.87) and male/female ratio 0.64(35/55), area Under Curve (AUC) for predicting CBD stones was 0.75, 0.81and 0.83 for HR and 0.28, 0.52 and 0.52 for IR group while it was 0.53, 0.81 and 0.53 for absence of stone in LR group of SAGES, ASGE and ESGE criteria respectively. HR groups had accuracy of 81.1%, 86.7% and 87.8% in predicting CBD stone while LR criteria had 68.8%, 86.7% and 68.1% accuracy in predicting absence of CBD stone for SAGES, ASGE and ESGE respectively.

Conclusion: HR strata of SAGES, ASGE and ESGE scores have excellent accuracy in predicting CBD stones whereas IR and LR criteria are suboptimal for excluding CBD stones.

doi: https://doi.org/10.12669/pjms.38.8.6666

How to cite this:
Yousaf MN, Mahmud Y, Sarwar S, Ahmad MN, Ahmad M, Abbas G. Predicting common bile duct stones: Comparison of SAGES, ASGE and ESGE criteria for accuracy. Pak J Med Sci. 2022;38(8):2095-2100. doi: https://doi.org/10.12669/pjms.38.8.6666

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biography

Shahid Sarwar, Services Institute of Medical Sciences

Associate Professor of Medicine

Department of Medicine, Services Institute of Medical Sciences Lahore

Consultant Gastroenterologist

Doctors Hospital and Medical Center Lahore

Published
2022-10-14
How to Cite
Yousaf, M. N., Mahmud, Y., Sarwar, S., Ahmad, M. N., Ahmad, M., & Abbas, G. (2022). Predicting common bile duct stones: Comparison of SAGES, ASGE and ESGE criteria for accuracy. Pakistan Journal of Medical Sciences, 38(8). https://doi.org/10.12669/pjms.38.8.6666
Section
Original Articles

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