Table 1

Definition of biliary sludge

Biliary sludgeLiterature-based findingsExpert agreementAudience agreement
LocalisationGallbladder only0%
Bile duct only0%
Gallbladder and bile duct100%89.7%
SonomorphologyDiscrete, hyperechoic material (GB+CBD), without acoustic shadowing, sediment in the most dependent part of the GB96.15%70.6%
Imaging method of choice*EUS93%
Transabdominal ultrasound4%
  • *There is an obvious bias in this voting as first, mainly EUS experts were involved in the questionaire and second we did not discriminate between findings in the CBD and the gallbladder. Transabdominal ultrasound might be the method of choice for gallbladder findings.

  • CBD, common bile duct; EUS, endoscopic ultrasound; GB, Gallbladder .