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Table 2 2016 WSES predictive factor for CBDS and risk class (modified from SAGE-AGES)

From: 2017 WSES and SICG guidelines on acute calcolous cholecystitis in elderly population

Predictive factor for choledocholithiasis

Very strong

Evidence of CBD stone at abdominal ultrasound

Total serum bilirubin > 4 mg/dL

Strong

Common bile duct diameter > 6 mm (with gallbladder in situ)

Bilirubin level 1.8 to 4 mg/dL

Moderate

Abnormal liver biochemical test other than bilirubin

Age older than 55 years

Clinical gallstone pancreatitis

Risk class for choledocholithiasis

High

Presence of any very strong

Low

No predictors present

Intermediate

All other patients