Diagnosing choledocholithiasis: better to be European or American?

The paper from Jagtap et al. in this issue of I Endoscopy i compares the respective value of European Society of Gastrointestinal Endoscopy (ESGE) and American Society for Gastrointestinal Endoscopy (ASGE) criteria for predicting choledocholithiasis [1]. Both ESGE and ASGE recommendations for the management of common bile duct (CBD) stones were published in 2019 [2][3]. Therefore, in all cases, the patient should be informed about the exact risk of excessive investigation or of missing a CBD stone according to the high/intermediate/low likelihood criteria of ESGE/ASGE guidelines. [Extracted from the article]