Acute pancreatitis: current perspectives on diagnosis and management

Figures & data

Table 1 Comparison of the different imaging modalities available when diagnosing choledocholithiasis

Imaging modality	Sensitivity (%)	Specificity (%)	Positive predictive value (%)	Negative predictive value (%)	Accuracy (%)
Transabdominal ultrasound	50–80^Citation30	90^Citation30	100^Citation10	80^Citation10
Endoscopic ultrasound	84–100^Citation30,Citation31	94–100^Citation32,Citation33	98^Citation31	88^Citation31	92–99^Citation34
CECT	60–88^Citation30,Citation34	97–100^Citation30,Citation34			94^Citation34
MRCP	81–100^Citation30,Citation34,Citation35	72–98^Citation30,Citation34,Citation35	90.5^Citation30,Citation35	95.2^Citation30,Citation35	89–94^Citation30,Citation34,Citation35
ERCP	89^Citation31	100^Citation31	100^Citation31	83^Citation31

Abbreviations: CECT, contrast-enhanced CT; ERCP, endoscopic retrograde cholangiopancreatography; MRCP, magnetic resonance cholangiopancreatography.

Figure 1 A flowchart encompassing the patient’s journey from diagnosis of acute pancreatitis through to further investigation and definitive management.

Abbreviations: CBD, common bile duct; CT, computed tomography; ERCP, endoscopic retrograde cholangiopancreatography; EUS, endoscopic ultrasound; HIDA, fatty meal hepatobiliary iminodiacetic acid scan; LFT, liver function test; MRCP, magnetic resonance cholangiopancreatography; TUS, transabdominal ultrasound.

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