Predictive value of scoring system based on clinical, biochemical and imaging findings in the diagnosis of common bile stones. (Record no. 554)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02496 a2200241 4500 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20220906184545.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 190214b ||||| |||| 00| 0 eng d |
| 060 ## - NATIONAL LIBRARY OF MEDICINE CALL NUMBER | |
| Classification number | THS-00087 |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Khanal, Krishna Prasad. |
| 9 (RLIN) | 1718 |
| 245 ## - TITLE STATEMENT | |
| Title | Predictive value of scoring system based on clinical, biochemical and imaging findings in the diagnosis of common bile stones. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Name of publisher, distributor, etc. | c2002. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 84p. |
| 500 ## - GENERAL NOTE | |
| General note | Thesis Report. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | ABSTRACT: A prospective study was undertaken to find out the Predictive Value of scoring system based on clinical, biochemical and imaging findings in the diagnosis of Common Bile Duct stones. The study was carried out over-a period of twelve months in the Department of Surgery with support from Department of Radiology and Pathology of Bir Hospital and Patan Hospital. Thirty-three patients of symptomatic gallstone disease along with the risk factors for common bile duct stones were included in this study. Risk factors were incorporated to scoring system and prediction of prediction of presence or absence of common bile duct stone was done. Diagnosis was confirmed on the basis of ERCP and or Preoperative Cholangiogram findings.. Diagnostic value was confirmed with operative findings. Gold standard for the presence or absence of CBD stones was operative finding. In the univariate analysis presence USG, the predictive value was sensitivity 65%, specificity 76%, PPV81%, NPV58% respectively. The predictive value of ERCP for CBD stone was 100% sensitive,, specificity was 88%, PPV was 91%, NPV was 100% respectively. Similarly, Intraoperative cholangiogram was very sensitive. The predictive value of Intraoperative cholangogram for CBD stone was 100%. As the score was more than three, the predictive value of sensitivity was 95%, specificity was 15%, PPV was 65%, NPV was 66% respectively. One patients was found stone positive with score less than three but the size of the CBD stone was only 4mm in size. By using scoring system, which is very simple to apply, and sensitive to predict CBD stone can be used to perform selective intra operative cholangiogram of ERCP to confirm the diagnosis, thereby reducing the negative exploration of CBD. |
| 546 ## - LANGUAGE NOTE | |
| Language note | Eng. |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Predictive value. |
| 9 (RLIN) | 1807 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Scoring system. |
| 9 (RLIN) | 1808 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Clinical biochemical. |
| 9 (RLIN) | 1809 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Common bile stones. |
| 9 (RLIN) | 1810 |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="http://nhrc.gov.np/contact/">http://nhrc.gov.np/contact/</a> |
| Link text | Visit NHRC Library |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | National Library of Medicine |
| Koha item type | Thesis Report |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Shelving location | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| National Library of Medicine | Nepal Health Research Council | Nepal Health Research Council | Reference | 07/15/2012 | THS-00087/KHA/2002 | THS-00087 | 07/15/2012 | 07/15/2012 | Thesis Report |