Mei Y, Chen L, Peng CJ, Wang J, Zeng PF, Wang GX, Li WP, Luo YQ, Du C, Liu K, Xiong K, Leng K, Feng CL, Jia JH. Diagnostic value of elevated serum carbohydrate antigen 199 level in acute cholangitis secondary to choledocholithiasis. World J Clin Cases 2018; 6(11): 441-446 [PMID: 30294608 DOI: 10.12998/wjcc.v6.i11.441]
Corresponding Author of This Article
Kai Leng, PhD, Chief Doctor, Professor, Department of Hepatopancreatobiliary Surgery, the Third Affiliated Hospital of Zunyi Medical University, 98 Fenghuang Load, Zunyi 563000, Guizhou Province, China. lengkai4757zsyy@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 6, 2018; 6(11): 441-446 Published online Oct 6, 2018. doi: 10.12998/wjcc.v6.i11.441
Table 1 Baseline data of patients
Observation group (n = 158)
Control group (n = 569)
χ2/t value
P value
Age (yr)
54.31 ± 12.54
51.65 ± 11.29
0.336
0.752
Gender
Male
69
263
0.324
0.569
Female
89
306
B-ultrasound
Diameter of CBD (mm)
9.51 ± 2.14
9.85 ± 2.07
0.243
0.851
Number of CBD
Single
107
372
0.302
0.583
Multiple
51
197
Complications
Diabetes mellitus
32
112
0.025
0.874
Hypertensive disease
36
101
2.049
0.152
Hyperlipidemia
13
41
0.188
0.665
WBC count
8.23 ± 1.82
8.68 ± 2.25
-1.702
0.092
Table 2 Comparisons of serum liver function indicators
Observation group (n = 158)
Control group (n = 569)
t value
P value
ALT
127.51 ± 28.71
125.34 ± 27.25
0.235
0.867
AST
130.29 ± 27.87
132.37 ± 30.19
0.229
0.871
TBiL
101.06 ± 23.38
95.49 ± 22.42
0.824
0.206
DBiL
60.62 ± 11.73
55.31 ± 10.82
0.926
0.179
GGT
210.28 ± 43.75
186.35 ± 41.08
1.083
0.126
ALP
237.84 ± 52.97
218.47 ± 50.18
1.024
0.145
Table 3 Comparisons of tumor markers
Observation group (n = 158)
Control group (n = 569)
t value
P value
CA199
90.25 ± 21.17
25.19 ± 7.06
25.597
0.000
CA125
26.73 ± 6.94
24.61 ± 6.45
0.527
0.487
CA153
10.07 ± 2.54
9.76 ± 2.24
0.353
0.728
CEA
2.67 ± 0.57
2.53 ± 0.15
0.301
0.779
AFP
3.18 ± 0.63
3.12 ± 0.61
0.208
0.894
Table 4 Area under the receiver operating characteristic curve of carbohydrate antigen 199
Area
Std. error
Asymptotic sig.
Asymptotic 95%CI
Cutoff value
Sensitivity
Specificity
0.885
0.022
0.000
0.841-0.929
52.5
0.868
0.816
Citation: Mei Y, Chen L, Peng CJ, Wang J, Zeng PF, Wang GX, Li WP, Luo YQ, Du C, Liu K, Xiong K, Leng K, Feng CL, Jia JH. Diagnostic value of elevated serum carbohydrate antigen 199 level in acute cholangitis secondary to choledocholithiasis. World J Clin Cases 2018; 6(11): 441-446