Skip to main content
. Author manuscript; available in PMC: 2021 Nov 16.
Published in final edited form as: Gastrointest Endosc. 2019 Apr 9;89(6):1075–1105.e15. doi: 10.1016/j.gie.2018.10.001

TABLE 15.

Proposed strategy to assign risk of choledocholithiasis and manage patients with symptomatic cholelithiasis based on clinical predictors

Probability Predictors of choledocholithiasis Recommended strategy
High Common bile duct stone on US/cross-sectional imaging
or
Clinical ascending cholangitis
or
Total bilirubin >4 mg/dL and dilated common bile duct on US/cross-sectional imaging		 Proceed to ERCP
Intermediate Abnormal liver biochemical tests
or
Age >55 years
or
Dilated common bile duct on US/cross-sectional imaging		 EUS, MRCP, laparoscopic IOC, or intraoperative US
Low No predictors present Cholecystectomy with/without IOC or intraoperative US

US, Ultrasound; IOC, intraoperative cholangiography.