The Diagnostic Yield of Endoscopic Ultrasound in Asymptomatic Patients with Unexplained Dilated Common Bile Duct, or Double Duct Sign with Normal Transaminase a Retrospective Study from a Single Urban-based University Endoscopy Center.

Mina Fransawy AlkomosShaker BarhamYoussef BotrosNader MekhealAriana TagliaferriAlisa FarokhianHardikkumar M ShahGabriel MelkiYana CavanaghWalid BaddouraMatthew Grossman

Published in: Journal of community hospital internal medicine perspectives (2024)

Unexplained CBD dilatation or Double duct sign on imagining in patients with normal liver enzymes should warrant further investigation with EUS to avoid missing serious pathological conditions such as stones, sludge, stricture, or a mass.

Keyphrases

ultrasound guided
microbial community
wastewater treatment
fine needle aspiration
endoscopic submucosal dissection
anaerobic digestion
computed tomography
sewage sludge
municipal solid waste