Capparelli et al reported a risk score for choledocholithiasis in pediatric patients. The authors are from J.P. Garrahan Hospital in Buenos Aires.
NOTE: Three of the parameters are similar to those reported by Ignacio et al.
Patient selection: age 11 to 15 years (adolescent)
Parameters:
(1) serum total bilirubin in mg/dL
(2) diameter of common bile duct in mm in imaging studies
(3) stones in the common bile duct on ultrasonography
(4) ascending cholangitis
Parameter
Finding
Points
serum total bilirubin
< 2 mg/dL
0
>= 2 mg/dL
1
diameter of common bile duct
<= 6 mm
> 6 mm
stones in common bile duct
no
yes
score =
= SUM(points for these 3 parameters)
Score
Ascending Cholangitis
Risk Category
low
intermediate
2
high
3
very high
NA
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Specialty: Gastroenterology