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Efficacy and Safety of Endoscopic Papillary Large Balloon Dilation for Removal of Large Bile Duct Stones in Advanced Age
Joint Authors
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-10-12
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
Bile duct stone-related adverse events can be detrimental in the elderly.
However, little is known about clinical outcomes and adverse events following endoscopic papillary large balloon dilation (EPLBD) in the elderly.
The aim of this study was to evaluate the safety and feasibility of EPLBD for the removal of CBD stones in patients aged ≥ 80 years.
Methods.
A total of 204 patients who underwent EPLBD from 2006 to 2012 were retrospectively reviewed.
Patients were classified into two groups (148 patients < 80 years old, Group A; 56 patients ≥ 80 years old, Group B).
Endoscopic findings, clinical outcomes, and adverse events in two groups were compared.
Results.
The number of underlying chronic diseases in Group B was significantly higher than in Group A (P=0.032).
The rates of overall stone clearance were similar between two groups (P=0.145).
No significant difference with regard to post-ERCP pancreatitis between two groups was observed (P=0.687).
All episodes of pancreatitis had full recovery with conservative treatment.
One major hemorrhage in Group A was successfully controlled endoscopically and one death caused by retroperitoneal perforation occurred in Group A.
Conclusions.
EPLBD appear to be safe and effective for CBD stone removal in patients aged ≥ 80 years.
American Psychological Association (APA)
Kim, Kook Hyun& Kim, Tae Nyeun. 2016. Efficacy and Safety of Endoscopic Papillary Large Balloon Dilation for Removal of Large Bile Duct Stones in Advanced Age. Canadian Journal of Gastroenterology and Hepatology،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1099905
Modern Language Association (MLA)
Kim, Kook Hyun& Kim, Tae Nyeun. Efficacy and Safety of Endoscopic Papillary Large Balloon Dilation for Removal of Large Bile Duct Stones in Advanced Age. Canadian Journal of Gastroenterology and Hepatology No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1099905
American Medical Association (AMA)
Kim, Kook Hyun& Kim, Tae Nyeun. Efficacy and Safety of Endoscopic Papillary Large Balloon Dilation for Removal of Large Bile Duct Stones in Advanced Age. Canadian Journal of Gastroenterology and Hepatology. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1099905
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099905