| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Observational Study |
| Article Title |
Imaging-independent model for predicting choledocholithiasis in acute biliary pancreatitis
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| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Simon Sirtl, Arlett Patricia Gloria Schäfer, Katharina Bretthauer, Eric Hohmann, Mali Junge, Mahmood Ahmad, Jakob Vielhauer, Anna Hausdorf, Max O Hubert, Raul Velamazán, Ughur Aghamaliyev, Jörg Schirra, Christian Schulz, Michal Żorniak, Georg Beyer, Ujjwal M Mahajan, Julia Mayerle and Hans C Stubbe |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Simon Sirtl, MD, Department of Medicine II, LMU University Hospital, Marchioninistraße 15, Munich 81377, Bavaria, Germany. simon.sirtl@med.uni-muenchen.de |
| Key Words |
Acute pancreatitis; Biliary pancreatitis; Gallstone pancreatitis; Choledocholithiasis; Machine learning |
| Core Tip |
We developed an imaging-independent prediction model for choledocholithiasis in acute biliary pancreatitis using only routinely available admission clinical and laboratory variables. Unlike existing approaches, the model intentionally excluded common bile duct diameter to avoid observer-dependent imaging variability. It achieved high sensitivity and a low false rule-out rate, supporting its potential role as an early triage tool. Although not suitable as a stand-alone indication for endoscopic retrograde cholangiopancreatography, it may help prioritize further diagnostic evaluation, especially where endoscopic ultrasound is not readily available. |
| Publish Date |
2026-11-12 03:43 |
| Citation |
Sirtl S, Schäfer APG, Bretthauer K, Hohmann E, Junge M, Ahmad M, Vielhauer J, Hausdorf A, Hubert MO, Velamazán R, Aghamaliyev U, Schirra J, Schulz C, Żorniak M, Beyer G, Mahajan UM, Mayerle J, Stubbe HC. Imaging-independent model for predicting choledocholithiasis in acute biliary pancreatitis. World J Gastrointest Surg 2026; 18(11): 125793
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| URL |
https://www.wjgnet.com/1948-9366/full/v18/i11/125793.htm |
| DOI |
https://doi.org/10.4240/wjgs.125793 |