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Clinical prediction rule to determine the need for repeat ERCP after endoscopic treatment of postsurgical bile leaks  Apostolos V. Tsolakis, MD, PhD,

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Presentation on theme: "Clinical prediction rule to determine the need for repeat ERCP after endoscopic treatment of postsurgical bile leaks  Apostolos V. Tsolakis, MD, PhD,"— Presentation transcript:

1 Clinical prediction rule to determine the need for repeat ERCP after endoscopic treatment of postsurgical bile leaks  Apostolos V. Tsolakis, MD, PhD, Paul D. James, MD, MSc, Gilaad G. Kaplan, MD, MPH, Robert P. Myers, MD, MSc, James Hubbard, MSc, Todd Wilson, MSc, Scott Zimmer, BSc, Rachid Mohamed, MD, Martin Cole, MD, Sydney Bass, MD, Mark G. Swain, MD, MSc, Steven J. Heitman, MD, MSc  Gastrointestinal Endoscopy  Volume 85, Issue 5, Pages e1 (May 2017) DOI: /j.gie Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

2 Figure 1 Schematic of subjects included in the study.
Gastrointestinal Endoscopy  , e1DOI: ( /j.gie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

3 Figure 2 Proportion of patients with persistent leak and other pathology on repeat ERCP. A, All leak types. B, Restricted to leak score C cases. Gastrointestinal Endoscopy  , e1DOI: ( /j.gie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

4 Figure 3 Recursive partitioning of 217 patients for the presence of persisting bile leak and other pathology on repeat ERCP (Pathology) or the absence of both (No pathology). Rule sensitivity, 94% (95% CI, 83%-99%); specificity, 24% (95% CI, 18%-31%); positive predictive value, 26% (95% CI, 20%-34%); and negative predictive value, 93% (95% CI, 81%-99%). ALP, alkaline phosphatase. Gastrointestinal Endoscopy  , e1DOI: ( /j.gie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions


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