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Background: Indicators for cholangiography were originally designed to select patients at risk for common bile duct (CBD) stones for intraoperative cholangiography. Objective: To refine these criteria to apply to the much more invasive procedure of preoperative endoscopic retrograde cholangiopancreatography (ERCP). Design: Retrospective review of selection criteria for ERCP in consecutive patients referred over 18 months following the introduction of laparoscopic cholecystectomy. Setting: Two ERCP units in adjacent teaching hospitals. Patients: Three hundred seventeen patients with gallstones and in situ gallbladders. Intervention: Common bile duct imaging at ERCP. Main Outcome Measures: Abnormalities justifying ERCP. Results: Abnormalities justifying ERCP were found in 66% of patients. This group differed significantly from those with normal ducts, with more being referred with abnormal results of all liver function tests (P

Original publication




Journal article


Archives of Surgery

Publication Date





89 - 94