Therapeutic ERCP in geriatric population with common bile-duct stones (report of 91 cases)

Jin JingPeng; Zhang Bin; Li ZhangFeng; Yang Lei; Li DanDan; Zhang BaoGang; Zhang Ying

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Feb. 2012

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Article Navigation > Journal of Clinical Hepatology > 2012 > 28(2): 105-107

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Therapeutic ERCP in geriatric population with common bile-duct stones (report of 91 cases)

Published Date: 2012-02-20

Abstract

Abstract

Objective To retrospectively evaluate the safety and efficacy of therapeutic ERCP in geriatric population (aged 70 years and older) with common bile-duct stones.Methods All patients (aged 70 years and older) with choledocholithiasis in whom a therapeutic ERCP had been performed over a five-year period of time (2004-2010) were retrospectively studied.Results ERCP was performed in all of the 91 patients of which 18 cases underwent a pre-cut sphincterotomy for difficulties in the deep cannulation of the bile duct.All of the patients had common bile duct stones, 48 had one stone, 19 had two, and 24 had more than three stones.Calculus were removed using basket directly in 13 patients, balloon catheter in 8, lithotrity in 52, and 15 cases were placed with plastic stent without calculus removal.Stone diameter was 1.4-4.5 cm (1.9±0.7 cm) .Bleeding occurred in 7 cases, all of them were mild and were cured by using submucous injection of noradrenaline (1∶10 000) or electric coagulation.Post-ERCP pancreatitis occurred in 11 patients, 2 were severe.No ERCP related deaths occurred.89 cases were followed up for 612 months and two cases were lost, 5 cases had recurrence of stones.Conclusion Therapeutic ERCP Proved to be a feasible treatment option for the management of choledocholithiasis in the elderly.
- choledocholithiasis,
- cholangiopancreatography

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沈阳化工大学材料科学与工程学院沈阳 110142

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Therapeutic ERCP in geriatric population with common bile-duct stones (report of 91 cases)

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