September 18, 2026 · Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · DOI: 10.1002/jum.70487

Temporal Changes in Biliary Duct Diameter with Correlated Bilirubin Levels in Confirmed Choledocholithiasis: A Prospective 3 Time-Point Observational Ultrasound Study

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The authors aimed to investigate the temporal changes in common bile duct (CBD) and intrahepatic duct (IHD) diameters, alongside bilirubin levels, in patients with choledocholithiasis to enhance diagnostic accuracy. Their findings revealed that CBD dilatation and bilirubin levels significantly increased over time, suggesting that serial ultrasound assessments combined with bilirubin trends can improve the sensitivity of diagnosing choledocholithiasis. The study supports the need for repeat ultrasound and laboratory evaluations within three days for better patient management.

Maria Giannaki, Michail Klontzas, Iraklis Perysinakis, Konstantinos Spanakis, Maria Raissaki, Evangelia E Vassalou

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