Considering the management of patients with symptomatic cholelithiasis and intermediate (50%, range 10%-70%) probability of lithiasis of the common bile duct, what would you say?
A. Laparoscopic cholecystectomy with intraoperative cholangiogram (LC-IOC) is the most cost-effective strategy compared with MRCP, EUS and ERCP in separate sessions, and EUS and ERCP in the same session.
B. MRCP is the most cost-effective strategy compared with LC-IOC, EUS and ERCP in separate sessions, and EUS and ERCP in the same session.
C. EUS and ERCP in separate sessions is the most cost-effective strategy compared with MRCP, LC-IOC, and EUS and ERCP in the same session.
D. EUS and ERCP in the same session is the most cost-effective strategy compared with MRCP, EUS and ERCP in separate sessions, and LC-IOC.
E. The most cost-effective strategy varies with the range of the probability of choledocholithiasis.