Title: Diagnostic value of T-tube cholangiography and choledochoscopy in residual calculi after
biliary surgery
Version: 3 Date: 23 Jul 2024
Reviewer's report:
I am disappointed that the authors did not change their manuscript to address all my comments.
1. They should mention their rationale in the Introduction including the drawback of EST and
the indication of T-tube drainage in their institution.
2. No tests are 100% correct. It is not scientific to say “Although choledochoscopy did
not demonstrate a statistically significant difference, T-tube cholangiography can yield false-
negative results. Consequently, it is not advisable to use a negative T-tube cholangiography
result as the sole basis for removing the T-tube. Without performing choledochoscopy in the
presence of false-negative results, there is a risk that residual bile duct stones may cause acute
pancreatitis, posing a serious threat to patient safety and health.”. They need to describe the pros
and cons of adding an invasive procedure such as choledochoscopy.
Title: Diagnostic value of T-tube cholangiography and choledochoscopy in residual calculi after
biliary surgery
Version: 3 Date: 23 Jul 2024
Reviewer's report:
I am disappointed that the authors did not change their manuscript to address all my comments.
1. They should mention their rationale in the Introduction including the drawback of EST and
the indication of T-tube drainage in their institution.
2. No tests are 100% correct. It is not scientific to say “Although choledochoscopy did
not demonstrate a statistically significant difference, T-tube cholangiography can yield false-
negative results. Consequently, it is not advisable to use a negative T-tube cholangiography
result as the sole basis for removing the T-tube. Without performing choledochoscopy in the
presence of false-negative results, there is a risk that residual bile duct stones may cause acute
pancreatitis, posing a serious threat to patient safety and health.”. They need to describe the pros
and cons of adding an invasive procedure such as choledochoscopy.
Please review this paper.
user
Title: Diagnostic value of T-tube cholangiography and choledochoscopy in residual calculi after
biliary surgery
Version: 3 Date: 23 Jul 2024
Reviewer's report:
I am disappointed that the authors did not change their manuscript to address all my comments.
1. They should mention their rationale in the Introduction including the drawback of EST and
the indication of T-tube drainage in their institution.
2. No tests are 100% correct. It is not scientific to say “Although choledochoscopy did
not demonstrate a statistically significant difference, T-tube cholangiography can yield false-
negative results. Consequently, it is not advisable to use a negative T-tube cholangiography
result as the sole basis for removing the T-tube. Without performing choledochoscopy in the
presence of false-negative results, there is a risk that residual bile duct stones may cause acute
pancreatitis, posing a serious threat to patient safety and health.”. They need to describe the pros
and cons of adding an invasive procedure such as choledochoscopy.
assistant