Table 1: Criteria for choledocholithiasis according to ASGE.

Predictors

Definition

Very strong

Choledocholithiasis on ultrasound

Cholangitis clinic (Tokyo 18)

Bilirubin > 4 mg/dl

Strong

Common bile duct > 6 mm by ultrasound

(with gallbladder in situ)

Bilirubin 1.8 to 4 mg/dl

Moderate

Alteration of liver biochemistry

Age > 55 years old

Diagnosis of acute biliary pancreatitis

High-risk

Presence of one very strong predictor

or two strong predictors

Medium risk

Presence of a strong

and/or moderate predictor

Low risk

No presence of any predictor

ASGE = American Society for Gastrointestinal Endoscopy.